Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report
Mumps infection is regarded as one of the main vaccine-preventable diseases in the world. Although mumps is considered one of the most innocuous infections, it can also cause serious complications such as meningoencephalitis, pancreatitis, myocarditis, and long-term issues like deafness and multiple...
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JCDR Research and Publications Private Limited
2025-01-01
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| author | Jayakanthan Saravanan AP Krithika M Geetha |
| author_facet | Jayakanthan Saravanan AP Krithika M Geetha |
| author_sort | Jayakanthan Saravanan |
| collection | DOAJ |
| description | Mumps infection is regarded as one of the main vaccine-preventable diseases in the world. Although mumps is considered one of the most innocuous infections, it can also cause serious complications such as meningoencephalitis, pancreatitis, myocarditis, and long-term issues like deafness and multiple cranial nerve palsies. Due to its predominantly benign nature, it has long been a neglected infection. The Government of India includes the administration of the Measles and Rubella (MR) vaccine only (without the mumps vaccine) at 9 and 15 months of age for all children in the National Immunisation Schedule. In the present case, a nine-year-old boy was brought in with complaints of fever and bilateral swelling in the parotid region for three days, accompanied by pain during chewing. Clinically, patient was diagnosed with a mumps infection. The parotid swelling gradually decreased over the course of one week. However, the boy continued to experience persistent high-grade fever even after the parotitis improved. Complications of mumps, such as orchitis, pancreatitis, and meningoencephalitis, were ruled out. Laboratory investigations revealed the growth of Methicillin-resistant Staphylococcus Aureus (MRSA) in the blood, which was sensitive to the antibiotics doxycycline, ciprofloxacin and clindamycin. The boy was started on doxycycline, and the fever abated within 24 hours, leading to constitutional improvement. This unusual presentation of MRSA bacteraemia following a mumps infection underscores the importance of considering all possible differential diagnosis when a child does not follow the expected clinical course and continues to exhibit symptoms without improvement. |
| format | Article |
| id | doaj-art-ee54e0b2f7fb468e8d52dd0163b16cfe |
| institution | Kabale University |
| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-ee54e0b2f7fb468e8d52dd0163b16cfe2025-01-27T11:55:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901010210.7860/JCDR/2025/75358.20541Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case ReportJayakanthan Saravanan0AP Krithika1M Geetha2Associate Professor, Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.Professor, Department of Paediatrics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.Junior Resident, Department of Paediatrics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.Mumps infection is regarded as one of the main vaccine-preventable diseases in the world. Although mumps is considered one of the most innocuous infections, it can also cause serious complications such as meningoencephalitis, pancreatitis, myocarditis, and long-term issues like deafness and multiple cranial nerve palsies. Due to its predominantly benign nature, it has long been a neglected infection. The Government of India includes the administration of the Measles and Rubella (MR) vaccine only (without the mumps vaccine) at 9 and 15 months of age for all children in the National Immunisation Schedule. In the present case, a nine-year-old boy was brought in with complaints of fever and bilateral swelling in the parotid region for three days, accompanied by pain during chewing. Clinically, patient was diagnosed with a mumps infection. The parotid swelling gradually decreased over the course of one week. However, the boy continued to experience persistent high-grade fever even after the parotitis improved. Complications of mumps, such as orchitis, pancreatitis, and meningoencephalitis, were ruled out. Laboratory investigations revealed the growth of Methicillin-resistant Staphylococcus Aureus (MRSA) in the blood, which was sensitive to the antibiotics doxycycline, ciprofloxacin and clindamycin. The boy was started on doxycycline, and the fever abated within 24 hours, leading to constitutional improvement. This unusual presentation of MRSA bacteraemia following a mumps infection underscores the importance of considering all possible differential diagnosis when a child does not follow the expected clinical course and continues to exhibit symptoms without improvement.https://www.jcdr.net/articles/PDF/20541/75358_CE(Ra1)_F(Sh)_QC(PS_SHU)_PF1(JY_SL)_redo_PFA(IS)_PN(IS).pdfdoxycyclinemeasles mumps rubella vaccinemyocarditisparotitis |
| spellingShingle | Jayakanthan Saravanan AP Krithika M Geetha Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report Journal of Clinical and Diagnostic Research doxycycline measles mumps rubella vaccine myocarditis parotitis |
| title | Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report |
| title_full | Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report |
| title_fullStr | Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report |
| title_full_unstemmed | Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report |
| title_short | Methicillin-resistant Staphylococcus Aureus Bacteraemia in a Young Boy following Mumps Infection: A Case Report |
| title_sort | methicillin resistant staphylococcus aureus bacteraemia in a young boy following mumps infection a case report |
| topic | doxycycline measles mumps rubella vaccine myocarditis parotitis |
| url | https://www.jcdr.net/articles/PDF/20541/75358_CE(Ra1)_F(Sh)_QC(PS_SHU)_PF1(JY_SL)_redo_PFA(IS)_PN(IS).pdf |
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