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BMJ Case Rep. 2014 Jun 11;2014. pii: bcr2014204816. doi: 10.1136/bcr-2014-204816.

Metastatic spinal abscesses from diabetic foot osteomyelitis.

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  • 1Department of Diabetes and Metabolism, Barts and the London NHS Trust, London, UK.


A 66-year-old man with long-standing type 2 diabetes, nephropathy and neuropathy was admitted acutely with an infected left big toe neuropathic ulcer, with underlying osteomyelitis. His condition rapidly deteriorated with sepsis and right lobar pneumonia. Microbiology grew methicillin-sensitive Staphylococcus aureus. Shortly into his admission, he developed flaccid paraparesis, and an MRI showed multiple epidural abscesses with likely cord infarction, not amenable to surgical intervention. His sepsis resolved, but his paraparesis remained severe, requiring spinal rehabilitation.

2014 BMJ Publishing Group Ltd.

[PubMed - indexed for MEDLINE]
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