Management of life-threatening staphylococcal septic shock in a breastfeeding woman with breast abscess: A case report
| Autor: | Chunxiang Tian, Ping Ning |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
CVC
central venous catheter INR international normalized ratio Breastfeeding Case Report MRSA MRSA methicillin resistant Staphylococcus aureus bacterial infections and mycoses ICU intensive care unit PCT procalcitonin Septic shock CRP C-reactive protein Surgery MSSA methicillin-sensitive S. aureus Breast abscess |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction and importance Breast abscess is a common problem in breastfeeding women. However, septic shock secondary to methicillin resistant Staphylococcus aureus (MRSA) from breast abscess is very rare. Successful management of this condition in our center may provide experience of treatment for similar patients. Case presentation A 20-year-old breastfeeding woman with breast abscess was transferred to our center. General condition of the patient deteriorated rapidly to life-threatening septic shock. Culture of pus later demonstrated MRSA infection, with vancomycin susceptibility. Several measures were emergently implemented, including removal of necrotic tissue, continuous catheter irrigation and drainage, intravenous infusion of vancomycin, pumping norepinephrine, fluid resuscitation and transfusion of plasma. The patient was cured and discharged after 10 day's treatment. Clinical discussion Life-threatening septic shock secondary to MRSA in breastfeeding women with breast abscess is very rare. Nevertheless, clinicians should remain vigilant to early symptoms and signs of septic shock. Catheter irrigation and drainage, vancomycin and fluid resuscitation are essential for septic shock in lactational breast abscess. Conclusions We highlight the importance of the diagnosis and management of life-threatening septic shock secondary to MRSA in breast abscess to help us further understand this rare and fatal disease. Highlights • Life-threatening septic shock secondary to MRSA in a breastfeeding woman with breast abscess is very rare. • We should pay more attention to the early symptoms and signs of septic shock. • Catheter irrigation and drainage, vancomycin and fluid resuscitation are essential for septic shock in breast abscess. |
| Databáze: | OpenAIRE |
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