Consult rehabilitation for backrest and Consult NS for Spine ORIF evaluation. The L-spine MRI showed large abscess formation with sinud tract extending to posterior aspect of spine. Comparing to CT of abdomen done in July, 2015, the L2/3 destruction progressed rapidly, indicating high virulence bacteremia infection and mandates early treatment. Orthopedic surgeons was consulted. The operation was suggested and his family was agreed. The operation was advised. Thus, he was transferred to our GO service for further post-operation and management on 104/11/26.