One bacteria, multiple foci

Authors

  • Catarina Andrade Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0002-8575-9272
  • Beatriz Brazão Câmara Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0003-2303-3924
  • Andreia Forno Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0003-2296-5201
  • Cristina Freitas Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0001-9912-5441
  • Maria João Borges Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0002-8963-1604
  • Maria José Gomes Department of General Surgery, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0002-3163-9881
  • António Jorge Cabral Department of Pediatrics, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira https://orcid.org/0000-0003-2399-1209

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v33.i1.26283

Keywords:

abscess, bacteremia, pulmonary embolism, pyomyositis, staphylococcus aureus

Abstract

A previously healthy 16-year-old male with a ten-day history of proptosis and pain in the left upper eyelid and inflammatory signs of the left lower limb, without fever, was admitted to the Emergency Department. Computed tomography (CT) scan revealed an extensive intraorbital lesion and a multiloculated collection in the muscle planes of the thigh. The boy underwent surgical drainage and was started on empiric antibiotics. Methicillin-susceptible Staphylococcus aureus was isolated from blood and exudate cultures. Because the boy remained febrile, a chest CT scan was performed, which revealed bilateral cavitary lung lesions. He completed a long course of antibiotherapy. The study for potential immunodeficiency disorders was unremarkable.
Most pediatric cases of community-associated Staphylococcus aureus bacteremia are associated with a localized source of infection. Diagnosis depends on isolation from blood and fluid aspirates. Treatment usually requires surgical drainage and intravenous antibiotherapy. Staphylococcus aureus bacteremia may be associated with multiple foci of infection, which should be recognized promptly.

Downloads

Download data is not yet available.

References

Vanderkooi OG, Gregson DB, Kellner JD, Laupland KB. Staphylococcus aureus bloodstream infections in children: A population-based assessment. Paediatr Child Health 2011;16(5):276-280.

Fowler VG, Sexton DJ, Kaplan SL. Staphylococcus aureus bacteremia in children: Epidemiology and clinical features. May, 2019. (Assessed Sep, 2021) Available at: http://www.uptodate.com.

Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler VG. Staphylococcus aureus Infections: Epidemiology,

Pathophysiology, Clinical Manifestations, and Management. American Society for Microbiology Journals 2015; 28 (3): 603-661.

Gaensbauer JT, Todd JK. Staphylococcus. Kliegman RM, Stanton BF, St Geme III WJ, Schor NF, editors. Nelson Textbook Of Pediatrics. 20th ed. Philadelphia: Elsevier; 2016. p.1315-21.

Kaplan SL. Staphylococcus aureus in children: Overview of treatment of invasive infections. Aug, 2020. (Assessed Sep, 2021) Available at: http://www.uptodate.com.

Keynan Y, Rubinstein E. Staphylococcus aureus Bacteremia, Risk Factors, Complications, and Management. Crit Care Clin 2013 Jul; 29(3):547-62.

Melles D, Van Leeuwen W, Boelens H, Peeters J, Verbrugh A, Belkum A. Panton-Valentine Leukocidin Genes in Staphylococcus aureus. Emerg Infect Dis 2006; 12 (7): 1174–1175.

Downloads

Published

2024-04-05

How to Cite

1.
Andrade C, Brazão Câmara B, Forno A, Freitas C, Borges MJ, Gomes MJ, Cabral AJ. One bacteria, multiple foci. REVNEC [Internet]. 2024Apr.5 [cited 2025Feb.22];33(1):69-71. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/26283

Issue

Vol. 33 No. 1 (2024)

Section

Imaging Cases

License

Copyright (c) 2024 Catarina Andrade, Beatriz Brazão Câmara, Andreia Forno, Cristina Freitas, Maria João Borges, Maria José Gomes, António Jorge Cabral

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright and Authors' Rights

All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".

It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.

Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.

Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.