A fatal case of community acquired methicillin resistant Staphylococcus aureus brain abscess in a previously healthy adolescent.
West Indian Med J
; 55(3): 200-4, 2006 Jun.
Article
en En
| MEDLINE
| ID: mdl-17087107
A 16-year-old adolescent presented with fever, lethargy and vomiting associated with mild dehydration. This was followed less than 24-hours later by loss of consciousness, seizures and clinical brain death. She had no prior medical illness, no hospital or frequent antibiotic exposure. There was no evidence of soft tissue or skin infection. Management included intravenous fluids, ampicillin and cefotaxime parenterally, dexamethasone, endotracheal intubation and mechanical ventilation. Her neurologic examination remained unchanged with areflexia, flaccid paralysis and fixed pupils. Post-mortem examination revealed an eight-centimetre right fronto-parietal lobe brain abscess. Cultures were positive for methicillin resistant Staphylococcus aureus. Although formerly a nosocomial pathogen affecting debilitated patients in the hospital setting, S aureus that is methicillin resistant is emerging as a community acquired pathogen affecting previously well patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones Estafilocócicas
/
Staphylococcus aureus
/
Absceso Encefálico
/
Resistencia a la Meticilina
/
Infecciones Comunitarias Adquiridas
Tipo de estudio:
Diagnostic_studies
Límite:
Adolescent
/
Female
/
Humans
Idioma:
En
Revista:
West Indian Med J
Año:
2006
Tipo del documento:
Article
País de afiliación:
Cuba
Pais de publicación:
Jamaica