enfermedad invasora por staphylococcus aureus meticilino resistente adquirida en la comunidad community-acquired methicillin-resistant staphylococcus aureus disseminated disease
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Abstract
A 21 year old man, previously healthy, presented with subcutaneous nodes consistent with gummas. Ultrasonography disclosed multiple subcutaneous abscesses and images suitable with piomiositis, pleural and pericardium effusion. A puncture-aspirate with fine-needle was performed and produced purulent material, with isolate of Staphylococcus aureus. Antimicrobial susceptibility testing by disk diffusion showed resistant to cefalotin, erythromycin and clindamycin, and susceptibility to trimethoprim-sulfamethoxazole, ciprofloxacin and rifampicin. Methicilin-resistance was confirmed by Staphyslide agglutination testing (Biomérieux). The patient was treated with ciprofloxacin and rifampicin during four weeks, with a good clinical response. The frequency of CA-MRSA infections is increasing, and these are reported in patients without identified predisposing risks leading to failure on empiric therapy for community infections presumed to be due to staphylococcal agents.
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brezzo2006medicinaenfermedad
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| Authors | ;Clarisa Brezzo;Diego Cecchini;Fernando Biscione;Tomás Orduna;Nora Costa;Mirta Quinteros |
| Journal | proceedings on: 2016 ieee central america and panama student conference, conescapan 2016 |
| Year | 2006 |
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