SEPSIS SEVER CU MRSA LA O PACIENTĂ IMUNODEPRIMATĂ PRIN LES ŞI CORTICOTERAPIE. ROLUL METASTAZELOR SEPTICE OSOASE ÎN STABILIREA UNEI DURATE ADECVATE A ANTIBIOTICOTERAPIEI

Cristina Popescu ¹, Adriana Paise ¹, Victoria Aramă ¹, Violeta Molagic ¹, M. Chiotan ¹, Argentina Petre ¹, Georgeta Popa ¹, M. Ionescu ¹, Daniela Munteanu ¹, Magda Pârvu ^2
1 Institutul Naţional de Boli Infecţioase “Prof. Dr. Matei Balş”, Bucureşti
² Spitalul Clinic Colentina, Bucureşti

Abstract

We present the case of a 50-years female patient with systemic lupus erythematosus with long-therm corticoid treatment who developed severe sepsis with methicillin resistant Stapylococcus aureus after a sternocleidomastoidian abcess. She was treated for two months but ten days after the antibiotic therapy was stopped, the patient complained about sever back pain and the vertebral radiography was suggestive for staphylococcal spondilodiscitis, although there was no sign of bone infection before. She received four months of antibiotic therapy. After 30 days of favourable outcome, the patient was transffered to an orthopaedic hospital for surgical intervention. The patient have continued the antibiotic treatment in our clinic, with favourable response. This case proves the importance of bone scintigrapy in the screening of septic metastasis in staphilococcal systemic infections.