We suggest S. lugdunensis spinal osteomyelitis with hardware involvement be treated similarly to S. aureus, with 6–8 weeks of intravenous antibiotics combined ...SkiptomaincontentYouarehereHomeArchiveVolume12, Issue3TreatmentofaStaphylococcuslugdunensiscervicalepiduralabscessEmailalertsArticleTextArticlemenuArticleTextArticleinfoCitationToolsShareRapidResponsesArticlemetricsAlertsPDFFindingsthatshednewlightonthepossiblepathogenesisofadiseaseoranadverseeffectCASEREPORTTreatmentofaStaphylococcuslugdunensiscervicalepiduralabscesshttp://orcid.org/0000-0002-6171-8492ThomasNoh1,ThomasMarcusZervos2,AnneChen3andMokbelChedid11DepartmentofNeurologicalSurgery,HenryFordHospital,Detroit,Michigan,USA2DepartmentofNeurosurgery,HenryFordHealthSystem,Detroit,Michigan,USA3DepartmentofInfectiousDiseases,HenryFordHospital,Detroit,Michigan,USACorrespondencetoDrThomasNoh,thomas.noh{at}gmail.comAbstractFirstreportedin1988,Staphylococcuslugdunensisisavirulentcoagulase-negativeStaphylococcusspeciesoftenassociatedwithendocarditis.Thisisthefirstcasereportdescribingthisinfectioninthecervicalspine.A58-year-old,left-handedCaucasianwomanwithnosignificantmedicalhistorypresentedwithneckandleftarmpain.Neurologicalexaminationrevealedmildleftdeltoid4/5weaknessandmyelopathy.Shewasfoundtohaveanepiduralcervicalspinalcordmassthatwascausingseverecordcompressionandunderwentpartialanteriorcervicaldecompressionofthemass.Onenteringwhatwasbelievedtobethemass,yellow-tingedfluidwasencountered.Anabscesswasimmediatelysuspected,sothedurawasnotentered.ThespecimensentforculturewasidentifiedadaylaterasS.lugdunensis.Atwo-dimensionalechocardiogramwasnegativeforvegetations.Aperipherallyinsertedcentralcatheterlinewasplacedandthepatientdischargedon6weeksofphysicaltherapyand6–8weeksofintravenouscefazolin.infectionsboneandjointinfectionspathologyhttp://dx.doi.org/10.1136/bcr-2018-227449StatisticsfromAltmetric.cominfectionsboneandjointinfectionspathologyViewFullTextFootnotesContributorsTMZhelpedwithdatagatheringandmanuscriptpre