Document Detail


Pelvic abscess induced by a methicillin-resistant Staphylococcus aureus from haematogenous spread via the CVP line in a burn patient.
MedLine Citation:
PMID:  7546265     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 38-year-old female patients was found accidentally to have a positive culture of MRSA from a routine CVP catheter tip culture 1 week after she had complete wound closure. She was recovering from a partial skin thickness burn covering 42 per cent TBSA on the trunk and extremities. Fever and hip pain developed abruptly 1 week later when she was ready for discharge from hospital. Magnetic resonance imaging (MRI) of the pelvis disclosed an intramuscular abscess. Open drainage was performed and pus culture yielded a MRSA with the same sensitivity profile as the previous CVP tip culture. Vancomycin 500 mg every 6 h was used for 3 weeks until the drain culture disclosed a negative result, and a follow-up MRI indicated a loss of the abscess space. Follow-up at an outpatient clinic 3 months later showed that the patient remained symptom free. In this patient haematogenous dissemination was the most likely route of pelvic abscess formation. It should be remembered that MRSA infection is not always only a local problem, especially in the immunocompromised condition of burn injury.
Authors:
T W Lin; C H Liu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  21     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-11-20     Completed Date:  1995-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  387-8     Citation Subset:  IM    
Affiliation:
Burn Institute of National Taiwan University Hospital, Taipei.
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MeSH Terms
Descriptor/Qualifier:
Adult
Burns / complications*,  microbiology
Catheterization, Central Venous / adverse effects*
Female
Humans
Methicillin Resistance*
Psoas Abscess / drug therapy,  etiology,  microbiology*
Staphylococcal Infections / drug therapy,  etiology*
Staphylococcus aureus / drug effects*
Vancomycin / therapeutic use
Chemical
Reg. No./Substance:
1404-90-6/Vancomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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