CC BY-NC-ND 4.0 · IJNS 2018; 07(02): 139-141
DOI: 10.1055/s-0038-1667285
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

A Rare Case of Septic Arthritis of Lumbar Facet Joint with Epidural Abscess, and Bacterial Meningitis Caused by Methicillin-Sensitive Staphylococcus aureus

Miguel Maldonado-Morán
1  Department of Neuroscience, Universidad Militar Nueva Granada, Bogotá, Colombia
,
Juan M. Muñoz
2  Department of Neurosurgery, Universidad Militar Nueva Granada, Bogotá, Colombia
,
Javier I. Matta
3  Department of Orthopaedics, Spine Services, Universidad Militar Nueva Granada, Facultad de Medicina y Ciencias de la Salud, Bogotá, Colombia
,
Victor M. Arrieta
4  Department of Orthopaedics, Spine Services, Universidad Militar Nueva Granada, Facultad de Medicina y Ciencias de la Salud, Bogotá, Colombia
,
Oscar P. Bernal
5  Movement Disorder Specialist Neurology, University of Florida, Gainesville, Florida, United States
,
Jairo M. Mejía
6  Department of Neurology, Universidad Militar Nueva Granada, Bogotá, Colombia
› Author Affiliations
Further Information

Publication History

Received: 23 May 2018

accepted after revision: 15 June 2018

Publication Date:
01 August 2018 (online)

  

Abstract

Septic arthritis of the facet joint is an extremely rare condition, even more in young immunocompetent patients. There have been approximately only 40 cases of this entity reported worldwide. Here, the authors present a 16-year-old male patient with lower back pain, fever, and cephalea. Blood cultures and cerebrospinal fluid analysis confirmed methicillin-sensitive Staphylococcus aureus infection, and magnetic resonance imaging showed septic arthritis of the lumbar left facet joint L3 and epidural abscess. Intravenous oxacillin was administered, and the patient improved. No other treatment was required.