Spinal cord abscesses are extremely rare, even in intravenous drug abu
sers. They usually have a poor prognosis unless diagnosed and treated
promptly. MRI is the best imaging modality for diagnosis and follow-up
. We report a 42-year-old man, an active intravenous drug user, HIV ne
gative, who developped subacute tetraplegia from an intramedullary abs
cess caused by Staphylococcus aureus, Immediate decompressive surgery
and antibiotic treatment led to progressive recovery.