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Methicillin-resistant Staphylococcus Aureus Infection


Presentation

  • No differences between MRSA and non-MRSA lesions were present for EUS signs of inflammation.[ncbi.nlm.nih.gov]
  • We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph.[ncbi.nlm.nih.gov]
  • This report will provide readers with a better understanding of the etiology, clinical presentation, evaluation methods, and appropriate treatment of LS.[ncbi.nlm.nih.gov]
  • Low numbers of USA300- and USA400-like isolates were also present. Infections due to PVL-positive strains were much less frequently acquired in hospital (3.4%) than those due to PVL-negative nmMRSA (23.7%).[ncbi.nlm.nih.gov]
  • METHODS: The present study was a multicenter prospective observational study conducted in five university teaching hospitals.[ncbi.nlm.nih.gov]
Fever
  • We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph.[ncbi.nlm.nih.gov]
  • Symptoms of this infection include fever, cough, chest pain, shortness of breath, and increased respirations. Chills accompanying fevers are especially suspicious. Many patients with Pneumonia will also cough up sputum produced by the alveoli.[microbewiki.kenyon.edu]
  • The patient was found with pharyngalgia and fever 2 days before, without evident causes; the highest body temperature was 39.8 C.[omicsonline.org]
  • Most staph skin infections, including MRSA, appear as a bump or infected area on the skin that might be: Red Swollen Painful Warm to the touch Full of pus or other drainage Accompanied by a fever Prevention Cover your wounds.[barnstablecountyhealth.org]
  • More serious MRSA infections can also develop in the blood, bladder, lungs, or other sites and can cause fever and pain at the site of infection. Many people carry staph bacteria on their skin or in their bodies without any symptoms.[vdh.virginia.gov]
High Fever
  • We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph.[ncbi.nlm.nih.gov]
  • When produced in large quantities, this toxin can enter the blood stream and cause high fever, vomiting, diarrhea, headache, rash, sore throat, and body aches.[microbewiki.kenyon.edu]
Gangrene
  • Within a few days, they evolve into a gangrenous ulcer with a black/gray eschar surrounded by an erythematous halo.[ncbi.nlm.nih.gov]
Labored Breathing
  • We present the case of a 6-month-old previously healthy girl who presented with high fever, labored breathing, and an enlarged cardiac silhouette on her chest radiograph.[ncbi.nlm.nih.gov]
Hypotension
  • […] hospital-acquired MRSA infections is as follows: Any of the above skin infections (early signs and symptoms) Pneumonia IV site infection Surgical wound infection Symptoms increasing or not getting better even with antibiotic therapy Necrotizing fasciitis Sepsis Hypotension[emedicinehealth.com]
Ecthyma
  • Ecthyma gangrenosum (EG) is a well-recognized dermatological condition caused by gram-negative bacillary infection, particularly Pseudomonas aeruginosa. Association with gram-positive cocci is very rarely reported in the literature.[ncbi.nlm.nih.gov]
  • Ecthyma gangrenosum (EG) is a skin infection that is classically associated with Pseudomonas aeruginosa septicemia in immunocompromised patients. Other bacterial, viral, and fungal pathogens also have been implicated in EG.[ncbi.nlm.nih.gov]
  • Ecthyma gangrenosum (EG) manifests as a skin lesion and is commonly associated with Pseudomonas aeruginosa septicemia in immunocompromised patients. Other viral, fungal and bacterial agents can also cause EG.[ncbi.nlm.nih.gov]
Erythema
  • The first clinical observation is grouped vesicles with surrounding erythema. Within a few days, they evolve into a gangrenous ulcer with a black/gray eschar surrounded by an erythematous halo.[ncbi.nlm.nih.gov]

Workup

Pericardial Effusion
  • Comprehensive evaluation discovered a ductus arteriosus aneurysm and pericardial effusion with methicillin-resistant Staphylococcus aureus bacteremia.[ncbi.nlm.nih.gov]

Treatment

  • Arthroscopic treatment has been validated as a treatment option, but there is limited literature comparing it to an open arthrotomy regarding risk factors for failing single-stage surgical treatment.[ncbi.nlm.nih.gov]
  • For inpatient treatment, linezolid (both intravenous (IV) and oral) was most commonly utilized in both pediatric (IV 35/224, 16%; oral 41/224, 18%), and adult (IV 44/235, 19%; oral 38/235, 16%) respondents for inpatient treatment.[ncbi.nlm.nih.gov]
  • Tigecycline demonstrated comparable efficacy for treatment of MRSA soft tissue infections regardless of infection type, SCCmec, or PVL status. Copyright 2014 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • CONCLUSION: Clinicians should be aware of the reportedly frequent use of home remedies by this population, as it may potentially contribute to interactions when treatments are combined.[ncbi.nlm.nih.gov]
  • Treatment choices and the need for empiric MRSA coverage are influenced by the type and severity of infection.[ncbi.nlm.nih.gov]

Prognosis

  • The earlier the appropriate diagnosis and therapy is instituted for MRSA, the better the prognosis.[emedicinehealth.com]
  • Wang JT, Wu HS, Weng CM (2013) Prognosis of patients with methicillin-resistant Staphylococcus aureus bloodstream infection treated with teicoplanin: a retrospective cohort study investigating effect of teicoplanin minimum inhibitory concentrations.[omicsonline.org]

Etiology

  • This report will provide readers with a better understanding of the etiology, clinical presentation, evaluation methods, and appropriate treatment of LS.[ncbi.nlm.nih.gov]
  • The etiology of this reduction is most likely multifactorial.[ncbi.nlm.nih.gov]
  • Xu HX, Zhong Q (2014) Comparative study of etiologies and drug-sensitivity of suppurative tonsillitis in children. You Jiang Min Zu Yi Xue Yuan Xue Bao 53:418-420.[omicsonline.org]

Epidemiology

  • Community-associated MRSA can be distinguished from health care-associated MRSA based on genetic, epidemiologic, or microbiological profiles.[ncbi.nlm.nih.gov]
  • This finding suggested that strain carriage from the home country by military personnel is epidemiologically more important than local acquisition.[ncbi.nlm.nih.gov]
  • BACKGROUND: The epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) infection in postpartum women is not well characterized.[ncbi.nlm.nih.gov]
  • The issues include changing epidemiology, when and when not to treat, choice of treatment, and duration and route of treatment.[ncbi.nlm.nih.gov]
  • We aimed to investigate the present epidemiological status of MRSA infection and empirical antibiotic therapy for MRSA infection in university teaching hospitals in mainland China.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Prevention

  • Antibiotics were tailored to the resistant infection and preventative moisturization therapy was utilized. Awareness of dermatologic conditions affecting the vulva is principal in routine gynecologic care.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Prevention efforts should target patients with MRSA colonization or those with invasive devices or chronic wounds at hospital discharge. In addition, MRSA prevention efforts in nursing homes are warranted.[ncbi.nlm.nih.gov]
  • Removal of the biofilm on the tube at follow-up visits is important to prevent micro-organisms from dispersing around the tissue. If the Jones tube is dislocated, repositioning is highly recommended to prevent periocular MRSA infection recurrence.[ncbi.nlm.nih.gov]
  • The biggest decline in rate of infection was detected in 2008, which may suggest that the catheter-associated bloodstream infection prevention program was particularly effective.[ncbi.nlm.nih.gov]
  • Selection of antibiotics based on susceptibility and culture is needed for prevention of resistance and effective treatment. A decrease was observed in methicillin-resistant cases with implementation of control measures.[ncbi.nlm.nih.gov]

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