Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia
A 29-year-old woman presented to the Fondazione IRCCS “Cà Granda” Ospedale Maggiore, a tertiary care university hospital in Milan (Italy), with skin lesions, fever, myalgia, joint pain and swelling, and a one-week history of low back pain. The diagnosis was Staphylococcus aureus (S. aureus) bacterae...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2011-01-01
|
| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2011/234018 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849413411585130496 |
|---|---|
| author | Giovanna Fabio Maria Carrabba Luca Mellace Cinzia Hu Diego Spagnoli Maria Domenica Cappellini |
| author_facet | Giovanna Fabio Maria Carrabba Luca Mellace Cinzia Hu Diego Spagnoli Maria Domenica Cappellini |
| author_sort | Giovanna Fabio |
| collection | DOAJ |
| description | A 29-year-old woman presented to the Fondazione IRCCS “Cà Granda” Ospedale Maggiore, a tertiary care university hospital in Milan (Italy), with skin lesions, fever, myalgia, joint pain and swelling, and a one-week history of low back pain. The diagnosis was Staphylococcus aureus (S. aureus) bacteraemia spreading to skin, bones, and joints and a lumbosacral epidural abscess L5-S2. Neither initial focus nor predisposing conditions were apparent. The antibiotic therapy was prolonged for six-weeks with the resolution of fever, skin lesions, articular inflammation, and the epidural abscess. Community-acquired S. aureus infections can affect patients without traditional healthcare-associated risk factors, and community acquisition is a risk-factor for the development of complications. Raised awareness of S. aureus bacteraemia, also in patients without healthcare-associated risk factors, is important in the diagnosis, management, and control of this infection, because failure to recognise patients with serious infection and lack of understanding of empirical antimicrobial selection are associated with a high mortality rate in otherwise healthy people. |
| format | Article |
| id | doaj-art-6ec7894dd0e641cbbf42010f88cb5b36 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-6ec7894dd0e641cbbf42010f88cb5b362025-08-20T03:34:08ZengWileyCase Reports in Infectious Diseases2090-66252090-66332011-01-01201110.1155/2011/234018234018Metastatic Spreading of Community Acquired Staphylococcus aureus BacteraemiaGiovanna Fabio0Maria Carrabba1Luca Mellace2Cinzia Hu3Diego Spagnoli4Maria Domenica Cappellini5Department of Internal Medicine, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyDepartment of Internal Medicine, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyDepartment of Internal Medicine, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyDepartment of Internal Medicine, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyDepartment of Neurological Sciences, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyDepartment of Internal Medicine, Università degli Studi di Milano and Fondazione IRCCS “Cà Granda” Ospedale Maggiore, 20122 Milano, ItalyA 29-year-old woman presented to the Fondazione IRCCS “Cà Granda” Ospedale Maggiore, a tertiary care university hospital in Milan (Italy), with skin lesions, fever, myalgia, joint pain and swelling, and a one-week history of low back pain. The diagnosis was Staphylococcus aureus (S. aureus) bacteraemia spreading to skin, bones, and joints and a lumbosacral epidural abscess L5-S2. Neither initial focus nor predisposing conditions were apparent. The antibiotic therapy was prolonged for six-weeks with the resolution of fever, skin lesions, articular inflammation, and the epidural abscess. Community-acquired S. aureus infections can affect patients without traditional healthcare-associated risk factors, and community acquisition is a risk-factor for the development of complications. Raised awareness of S. aureus bacteraemia, also in patients without healthcare-associated risk factors, is important in the diagnosis, management, and control of this infection, because failure to recognise patients with serious infection and lack of understanding of empirical antimicrobial selection are associated with a high mortality rate in otherwise healthy people.http://dx.doi.org/10.1155/2011/234018 |
| spellingShingle | Giovanna Fabio Maria Carrabba Luca Mellace Cinzia Hu Diego Spagnoli Maria Domenica Cappellini Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia Case Reports in Infectious Diseases |
| title | Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia |
| title_full | Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia |
| title_fullStr | Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia |
| title_full_unstemmed | Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia |
| title_short | Metastatic Spreading of Community Acquired Staphylococcus aureus Bacteraemia |
| title_sort | metastatic spreading of community acquired staphylococcus aureus bacteraemia |
| url | http://dx.doi.org/10.1155/2011/234018 |
| work_keys_str_mv | AT giovannafabio metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia AT mariacarrabba metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia AT lucamellace metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia AT cinziahu metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia AT diegospagnoli metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia AT mariadomenicacappellini metastaticspreadingofcommunityacquiredstaphylococcusaureusbacteraemia |