Expanding spectrum of illness due to community-associated methicillin-resistant Staphylococcus aureus: a case report.

Autor: Kempker R; Department of Infectious Diseases, Emory University School of Medicine, 550 Peachtree Street, MOT 7th Floor Atlanta, GA 30308, USA. rkempke@emory.edu, Difrancesco L, Martin-Gorgojo A, Franco-Paredes C
Jazyk: angličtina
Zdroj: Cases journal [Cases J] 2009 Aug 17; Vol. 2, pp. 7437. Date of Electronic Publication: 2009 Aug 17.
DOI: 10.4076/1757-1626-2-7437
Abstrakt: Introduction: Xanthogranulomatous pyelonephritis is a rarely identified form of chronic pyelonephritis usually caused by gram-negative organisms. Herein, we report the first case caused by infection due to community-associated methicillin-resistant Staphylococcus aureus strain.
Case Presentation: An HIV-infected female with a history of intravenous drug use presented with a three month history of abdominal pain, distension, and fever. Computerized tomography of the abdomen revealed a large multicystic right kidney mass. During surgical exploration an intrarenal abscess was identified. Cultures revealed the presence of community-associated methicillin-resistant Staphylococcus aureus. Histopathological examination demonstrated xanthogranulomatous disease. The patient was successfully treated with nephrectomy and a prolonged antibiotic combination regimen with vancomycin and linezolid.
Conclusion: Our case illustrates the escalating spectrum of illness caused by infection due to community-associated methicillin-resistant Staphylococcus aureus.
Databáze: MEDLINE
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