Miliary pattern MRSA sepsis following clandestine intravenous infusion
| Autor: | Steven E. Fiester, James W. Fulcher, Kristan Abernathy |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Methicillin-Resistant Staphylococcus aureus medicine.drug_class medicine.medical_treatment Antibiotics Autopsy 01 natural sciences Asepsis Pathology and Forensic Medicine Sepsis 03 medical and health sciences 0302 clinical medicine Fatal Outcome Emergency medical services Medicine Humans 030216 legal & forensic medicine Infusions Intravenous Saline business.industry Septic shock 010401 analytical chemistry General Medicine Staphylococcal Infections medicine.disease Shock Septic 0104 chemical sciences Anesthesia Equipment Contamination Female business Fluid replacement |
| Zdroj: | Forensic science, medicine, and pathology. 15(2) |
| ISSN: | 1556-2891 |
| Popis: | Intravascular devices aid in drug administration and fluid replacement for hospitalized patients and are thus an integral part of modern medical care; however, poor aseptic technique and improper manipulation of infusion devices increase the risk of infections secondary to catheterization that can progress to sepsis and septic shock. We report the case of a woman who presented with altered mental status after receiving normal saline through an intravenous catheter placed by a medically untrained individual. Less than 24 h following her initial presentation to emergency medical services the patient became unresponsive to multiple vasopressors and broad-spectrum antibiotics and succumbed to septic shock. At autopsy, the decedent had enumerable hemorrhagic lesions consistent with septic emboli, and microscopic examination revealed clusters of coccoid-appearing bacteria. Cultures of the intravenous fluid and IV tubing collected at the decedent’s home grew methicillin-resistant Staphylococcus aureus (MRSA), which was consistent with ante-mortem cultures. This case highlights the rapid clinical deterioration and autopsy presentation of MRSA sepsis due to contamination of the intravenous delivery system. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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