{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:32:48Z","timestamp":1761060768430,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,3]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>First reported in 1988, <jats:italic>Staphylococcus lugdunensis<\/jats:italic> is a virulent coagulase-negative <jats:italic>Staphylococcus<\/jats:italic> species often associated with endocarditis. This is the first case report describing this infection in the cervical spine. A 58-year-old, left-handed Caucasian woman with no significant medical history presented with neck and left arm pain. Neurological examination revealed mild left deltoid 4\/5 weakness and myelopathy. She was found to have an epidural cervical spinal cord mass that was causing severe cord compression and underwent partial anterior cervical decompression of the mass. On entering what was believed to be the mass, yellow-tinged fluid was encountered. An abscess was immediately suspected, so the dura was not entered. The specimen sent for culture was identified a day later as <jats:italic>S. lugdunensis<\/jats:italic>. A two-dimensional echocardiogram was negative for vegetations. A peripherally inserted central catheter line was placed and the patient discharged on 6 weeks of physical therapy and 6\u20138 weeks of intravenous cefazolin.<\/jats:p>","DOI":"10.1136\/bcr-2018-227449","type":"journal-article","created":{"date-parts":[[2019,3,21]],"date-time":"2019-03-21T05:17:01Z","timestamp":1553145421000},"page":"e227449","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment of a <i>Staphylococcus lugdunensis<\/i> cervical epidural abscess"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6171-8492","authenticated-orcid":false,"given":"Thomas","family":"Noh","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Marcus","family":"Zervos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mokbel","family":"Chedid","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Henry Ford Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,20]]},"reference":[{"key":"2025082708034286000_12.3.e227449.1","doi-asserted-by":"crossref","first-page":"4262","DOI":"10.1128\/JCM.38.11.4262-4263.2000","article-title":"Frequency of isolation of Staphylococcus lugdunensis among staphylococcal isolates causing endocarditis: a 20-year experience","volume":"38","author":"Patel","year":"2000","journal-title":"J Clin Microbiol"},{"key":"2025082708034286000_12.3.e227449.2","doi-asserted-by":"publisher","DOI":"10.1177\/2048872614523350"},{"key":"2025082708034286000_12.3.e227449.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-319X(01)00348-7"},{"key":"2025082708034286000_12.3.e227449.4","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0691.2003.00777.x"},{"key":"2025082708034286000_12.3.e227449.5","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/2014.6.FOCUS14261","article-title":"The indications and timing for operative management of spinal epidural abscess: literature review and treatment algorithm","volume":"37","author":"Tuchman","year":"2014","journal-title":"Neurosurg Focus"},{"key":"2025082708034286000_12.3.e227449.6","unstructured":"US Elsevier Health Bookshop. 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