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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Suryanarayana, Prakash Dherange, Parinita A. Patel, Sarah Enakpene, Evbu |
| Description | Author Affiliation: Dherange PA ( Department of Internal Medicine, Banner University Medical Center South, Tucson, Arizona, USA.); Patel S ( Department of Internal Medicine, Banner University Medical Center South, Tucson, Arizona, USA.); Enakpene E ( Department of Cardiology, University of Arizona, Tucson, Arizona, USA.); Suryanarayana P ( Department of Cardiology, University of Arizona, Tucson, Arizona, USA.) |
| Abstract | We report a case of a 55-year-old woman with a history of type 2 diabetes mellitus, Charcot arthropathy and end-stage renal disease, who presented with a syncopal episode after undergoing haemodialysis. She had a history of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia from an unknown source 3â months earlier, which was treated with an 8-week course of intravenous antibiotics. At the time of presentation to the emergency room, she was found to be in refractory shock. Bedside echocardiogram was performed, which showed moderate pericardial effusion. The effusion was later found to be due to MRSA, which was identified in blood and in pericardial fluid cultures. The patient was successfully treated with intravenous daptomycin for 6â weeks. Acute osteomyelitis of her right foot was the source of the MRSA, for which a right below-knee amputation was ultimately performed. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Amputation Lower Extremity Surgery Methicillin-Resistant Staphylococcus Aureus Isolation & Purification Osteomyelitis Complications Pericarditis Pericardium Microbiology Staphylococcal Infections Syncope Etiology Anti-Bacterial Agents Administration & Dosage Comorbidity Female Humans Pathology Middle Aged Treatment Outcome Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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