Table 1.
COVID-19 diagnosis | COVID-19 treatment | Previous medical history | Symptoms of spinal abscess | MRI | Blood assay | Cultural assay | Previous MSSA localizations | Months after surgery | Two-month outcome | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Male 48 yrs |
Positive swab Chest-CT: IP |
CPAP lopinavir/topinavir hydroxychloroquine tocilizumab enoxaparin | Hypertension obesity | Pain, paraplegia mild fever | Th1-Th7 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
+ + − norm. norm. + norm. |
MSSA in abscess and more lately in urine | Expectoration (1 month before) | 2 |
Healed infection No pain Unchanged paraplegia |
Male 57 yrs |
Positive swab Chest-CT: IP |
INTUBAT./VENTIL.tocilizumab, azithromycin, ceftriaxone, corticosteroid, enoxaparin | Hypertension dyslipidemia | Pain, quadripar. No fever | C4-C6 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
+ + − norm. norm. n.a + + + |
MSSA in abscess and blood | Oropharyngeal swab (15 days before) | 1.5 |
Healed infection No pain Improved Quadripar. |
Male 55 yrs |
Positive swab Chest-CT: IP |
CPAP tocilizumab, amoxicillin/clavulanic acid, heparin |
Hypertension NH Lymphoma Myocardial Infarction | Pain, ascending quadripar. No fever | C5-Th1 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
− + − − − norm. norm. n.a n.a |
MSSA in Abscess | – | 1 |
Healed infection No pain Improved paraparesis |
Female, 78 yrs |
Negative swab Positive serology |
– | Hypertension Diabetes Obesity | Worsening paraparesis No fever | Th7-Th12 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
+ + − norm. norm. + + |
MSSA in abscess | Expectoration (15 days before) | 2 |
Healed infection No Pain Improved paraparesis |
Male 56 yrs |
Negative swab High clinical suspicion |
NIMV, corticosteroid, oxacillin, gentamicin, heparin | Hypertension Deep Vein Thrombosis | Pain, ascending quadripar. No fever | C1-C2 and C7-D1 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
+ + + − − − − norm. + + + |
MSSA in abscess | – | 2.5 |
Healed infection No pain Unchanged Quadriplegia Muribund |
Female, 57 yrs |
Negative swab Positive serology |
– | Iron deficiency anemia | Pain, paraparesis No fever | Th12-L5 |
WBC Neutrophils Lymphocytes RBC Platelets Procalcitonin CRP |
+ + − − − − − − norm. + |
MSSA in abscess and blood | – | 2 |
Healed infection No pain Improved paraparesis |
COVID-19 Corona virus disease 2019, IP interstitial pneumonia, CPAP continuous positive airway pressure, NIMV non invasive mechanical, ventilation, NH non-hodgkin, WBC white blood cells, RBC red blood cells, CRP C-reactive protein, MSSA methicillin-sensible staphylococcus aureus