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Staphylococcal meningitis

A complication of psoas abscess

Division of Infectious Diseases, Department of Internal Medicine, Kaiser Permanente Medical Center, Los Angeles, CA.

A previously healthy 59-year-old woman presented with fever, neck stiffness, and localized back tenderness. Spinal fluid and blood cultures grew Staphylococcus aureus. A diagnosis of pyogenic meningitis was made, but further investigation revealed that the meningitis arose from a clinically occult psoas abscess.

Address correspondence and reprint requests to Dr. Ruskin, Kaiser Permanente Medical Center, 4950 Sunset Blvd., Los Angeles, CA 90027.

Accepted for publication April 13, 1984.

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