6533b836fe1ef96bd12a0940
RESEARCH PRODUCT
Expanding spectrum of illness due to community-associated methicillin-resistant Staphylococcus aureus: a case report
Lorenzo DifrancescoRussell R. KempkerAlejandro Martin-gorgojoCarlos Franco-paredessubject
Medicine(all)medicine.medical_specialtyAbdominal painPathologymedicine.drug_classbusiness.industrymedicine.medical_treatmentAntibioticsGeneral Medicinemedicine.disease_causemedicine.diseaseMethicillin-resistant Staphylococcus aureusNephrectomychemistry.chemical_compoundchemistryStaphylococcus aureusInternal medicineLinezolidCase reportmedicineVancomycinmedicine.symptomAbscessbusinessmedicine.drugdescription
Introduction Xanthogranulomatous pyelonephritis is a rarely identified form of chronic pyelonephritis usually caused by gram-negative organisms. Herein, we report the first case caused by infection due to community-associated methicillin-resistant Staphylococcus aureus strain. Case presentation An HIV-infected female with a history of intravenous drug use presented with a three month history of abdominal pain, distension, and fever. Computerized tomography of the abdomen revealed a large multicystic right kidney mass. During surgical exploration an intrarenal abscess was identified. Cultures revealed the presence of community-associated methicillin-resistant Staphylococcus aureus. Histopathological examination demonstrated xanthogranulomatous disease. The patient was successfully treated with nephrectomy and a prolonged antibiotic combination regimen with vancomycin and linezolid. Conclusion Our case illustrates the escalating spectrum of illness caused by infection due to community-associated methicillin-resistant Staphylococcus aureus.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2009-08-01 | Cases Journal |