Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2025; 13(19): 104294
Published online Jul 6, 2025. doi: 10.12998/wjcc.v13.i19.104294
Lumbar methicillin-resistant Staphylococcus aureus infection caused by a peripherally inserted central catheter: A case report
Xiao-Xiao Yuan, Qiong-Qiong Tan, Chen Chen, Qing-Qing He, Yan-Ning Li
Xiao-Xiao Yuan, Qiong-Qiong Tan, Chen Chen, Qing-Qing He, Yan-Ning Li, Department of Thyroid and Breast Surgery, The 960th Hospital of the PLA Joint Logistics Support Force, Jinan 250031, Shandong Province, China
Co-first authors: Xiao-Xiao Yuan and Qiong-Qiong Tan.
Co-corresponding authors: Qing-Qing He and Yan-Ning Li.
Author contributions: Yuan XX and Li YN study conception and drafted the manuscript; Yuan XX and Tan QQ contributed equally to this article, they are the co-first authors of this manuscript; Tan QQ and Chen C contributed data acquisition to the manuscript; He QQ contributed critical revisions to the manuscript; He QQ and Li YN contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approved the final manuscript.
Supported by the Shandong Province Medical and Health Technology Development Plan, No. 202204011069.
Informed consent statement: Written informed consent was obtained from the patients/their parents for the publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Ning Li, Department of Thyroid and Breast Surgery, The 960th Hospital of the PLA Joint Logistics Support Force, No. 25 Shifan Road, Jinan 250031, Shandong Province, China. m15589937577@163.com
Received: December 17, 2024
Revised: January 21, 2025
Accepted: February 18, 2025
Published online: July 6, 2025
Processing time: 91 Days and 20.8 Hours
Core Tip

Core Tip: Peripherally inserted central catheters (PICCs) are used for chemo in breast cancer patients because they last a long time, can be used for different drugs, and are flexible. This case report describes a breast cancer patient who developed a methicillin-resistant Staphylococcus aureus infection in their spine during chemotherapy. A culture of the wound after removing the PICC showed methicillin-resistant Staphylococcus aureus. The patient had a fever and severe back pain. A magnetic resonance imaging showed that the muscles around the lumbar vertebrae were swollen and had an abnormal signal. This is a sign of vertebral osteomyelitis. The patient’s pain improved when they started antibiotics based on the culture results. This case shows the importance of infection prevention and control to avoid complications from PICCs.