MRSA Bacteremia and Spondylodiscitis After Trigger Point Injections

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Conference Proceeding - Restricted Access

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An 83 yo female with a history of myalgia, myositis, and mitral valve prolapse presented to the pain clinic for trigger point injections of bilateral thoracic and cervical paraspinal muscles. She had temperature of 99 degrees 3 days prior to the procedure. One week later, she reported mild improvement but persistent pain. MRI demonstrated acute spondylodiscitis and no abscess at the T3-T4 levels. Blood cultures were persistently positive for MRSA and eventually cleared on vancomycin. She was treated for presumed endocarditis given valvular abnormalities visualized on echocardiogram. A PICC line was placed for continued treatment of daptomycin.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.