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    
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.
T W Lin; C H Liu
Related Documents :
15230785 - Abdominoperineal resection or low hartmann's procedure.
6824435 - The influence of hair-removal methods on wound infections.
19716215 - Long-term evaluation of donor site morbidity after free fibula transfer.
24644415 - Isokinetic evaluation after two-stage bicruciate reconstruction.
20173375 - Success of trigonoplasty anti-reflux surgery and its predictive factors.
18404295 - Complications and risk factors for failure of rotationplasty: review of 25 patients.
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    
Burn Institute of National Taiwan University Hospital, Taipei.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Burns / complications*,  microbiology
Catheterization, Central Venous / adverse effects*
Methicillin Resistance*
Psoas Abscess / drug therapy,  etiology,  microbiology*
Staphylococcal Infections / drug therapy,  etiology*
Staphylococcus aureus / drug effects*
Vancomycin / therapeutic use
Reg. No./Substance:

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

Previous Document:  Exuberant granulation tissue mimicking vascular tumours associated with burns.
Next Document:  Extensive thrombosis of the caval venous system after central venous catheters in severely burned pa...