In sickle cell anemia, vertebral osteomyelitis is a common complication in patients with spinal symptoms. The most common organisms causing osteomyelitis in these patients are Staphylococcus aureus and Salmonella. This case study concerns a 25-year-old male sickle cell anemia patient, who was admitted to hospital with complaints of lower back and bilateral leg pain, and difficulty walking. Multiple vertebral osteomyelitis, a paravertebral abscess and an epidural abscess were diagnosed in the lumbar area. Percutaneous anterior abscess drainage and posterior decompression were performed. A culture revealed methicillin-sensitive Staphylococcus aureus. The patient responded well to surgery and six months of antibiotic treatment, without the need for recurrent surgical treatment.
Keywords: osteomyelitis, sickle cell anemia, abscess, epidural abscess