MRSA Bacteremia and Spondylodiscitis After Trigger Point Injections
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.
Zhang J, Chokr M, Clemans RR, Sapeika D. MRSA bacteremia and spondylodiscitis after trigger point injections. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/4970