scholarly journals Obturator internus and externus muscle abscess caused by methicillin-resistant Staphylococcus aureus in a 6-year-old boy: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110443
Author(s):  
Mawanane Hewa Aruna Devapriya De Silva ◽  
Janath Liyanage ◽  
Chanika Roshini Kulatunge ◽  
Bangirallage Dhanawardana

Obturator abscess is a rare condition in children which usually occurs commonly in tropical countries. Because of its rarity, vague symptomatology and a lack of focus about this condition, the diagnosis of obturator abscess is commonly delayed or missed. Hence, physicians should be familiar with this condition and have a high index of suspicion when a patient presents with fever, pain in the thigh, hip or abdomen and a limp on the affected side which are considered as the classic clinical triad of obturator abscess. Herein, we present a 6-year-old previously healthy Russian boy who was on holiday in Sri Lanka. He presented on the third day of the fever associated with pain in the right thigh and abdomen. This is the first reported case of an obturator externus muscle abscess due to methicillin-resistant Staphylococcus aureus in a European boy visiting a tropical country.

2019 ◽  
Vol 6 (2) ◽  
pp. 20
Author(s):  
Margarita Goula ◽  
Patricia Felix ◽  
Meta-Celestine Mbuyamba ◽  
Benoit Pirotte

Diabetic foot ulcer is one of the most frequent complications affecting the diabetic patient. While there has been considerable progress regarding the diagnostic tools and the range of antibiotic choices, the outcome is often unsatisfactory, the presence of peripheral arterial occlusive disease being among the main factors influencing the evolution. This paper describes the management of a patient presenting with an infected foot ulcer and persistent methicillin-resistant Staphylococcus aureus bacteremia, furthercomplicated by spondylodiskitis and infectious endocarditis: the case gives an opportunity to review the literature in search of theoptimal care and the right treatment choices.


2016 ◽  
Vol 25 (4) ◽  
pp. 379-382 ◽  
Author(s):  
Christina L. Tupe ◽  
Bethany A. Weiler ◽  
Avelino C. Verceles ◽  
Michael T. McCurdy

A 62-year-old woman treated with several courses of corticosteroids for an undifferentiated rash came to the emergency department with progressively worsening cutaneous signs and symptoms and generalized weakness. She had scabies, and despite treatment continued to decompensate. Repeat skin biopsies revealed disseminated herpes simplex virus infection, and results of blood cultures were consistent with infection by methicillin-resistant Staphylococcus aureus. Despite antiviral and antimicrobial therapy, sepsis and multiorgan failure developed, and the patient died. This case illustrates the complications of the rare entity eczema herpeticum, which occurs most often in immunocompromised patients and is associated with a high mortality. Maintaining a high index of suspicion for this disease in decompensating patients with an unidentified rash is essential to avoid catastrophic outcomes.


2020 ◽  
Vol 12 (3) ◽  
pp. 127-129
Author(s):  
Angela Troisi ◽  
Giulia Graziani ◽  
Alessandra Macaluso ◽  
Lorenzo Mambelli ◽  
Federico Marchetti

Pyomyositis is a rare condition in temperate climates. We present a case of Methicillin Resistant Staphylococcus aureus pyomyositis of the shoulder complicated by multifocal lung infiltrations, treated successfully with antibiotic therapy. After excluding shoulder septic arthritis, a low threshold of suspicion for the diagnosis of shoulder pyomyositis should be applied to patients with persistent fever, pain, and decreased range of shoulder motion. A prompt diagnosis and a rapid rise in antibiotic therapy are important to avoid local and systemic complications.


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