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A young adult with a fulminant Staphylococcus aureus infection and multiple thrombi

Eric Martin, Wesam Frandah, Rishi Raj, Kenneth Nugent
  • Eric Martin
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States
  • Wesam Frandah
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States
  • Rishi Raj
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States
  • Kenneth Nugent
    Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States | kenneth.nugent@ttuhsc.edu

Abstract

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) can cause skin and soft tissue infection and necrotizing pneumonia. We report a patient who developed ankle cellulitis following minor trauma and developed MRSA bacteremia, necrotizing pneumonia, respiratory failure, shock, and multiple thrombi. This case highlights the fulminant course, the possible need for empiric antibiotic coverage on admission for MRSA, and the high likelihood of thrombotic complications in these patients.

Keywords

necrotizing pneumonia, MRSA, Panton-Valentine toxin, deep venous thrombosis.

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Submitted: 2011-09-14 21:48:53
Published: 2011-11-10 15:17:12
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Copyright (c) 2011 Eric Martin, Wesam Frandah, Rishi Raj, Kenneth Nugent

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