This clinical report describes a case of a 60-year old patient with a past history of gout treated with colchicine and self-administered betamethasone, who was presented with a severe arthritis, fever, leukocytosis, elevated uric acid levels and inflammation markers associated with bacteremia caused by Staphylococcus aureus. Casting abscesses containing both monosodium-urate crystals and Staphylococcus aureus were demonstrated flowing from cervical-atlas axis causing odontoid fracture to popliteal regions. Prolonged therapy with multiple antibiotics and hypouricemics successfully treated the infection and prevented further gouty flares.
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