06 March 2009
A rare case of community-acquired methicillin resistant Staphylococcus aureus and Pseudomonas pneumonia
Vishal B Parekh, Chinedu Ivonye, Sahil Tah, Phillipa AmeneAm J Case Rep 2009; 10:27-30 :: ID: 869592
Abstract
Background: Incidences of community-acquired methicillin resistant Staphylococcus aureus (MRSA) infections have increased in the recent years. Little evidence exists whether community-acquired MRSA predisposes to increased incidence of other concurrent infections, especially in high risk groups such as prison inmates.
Case Report: A 34-year-old African American male, recently released from prison, presented to our emergency department complaining of cough with several episodes of coughing up blood and associated weight loss, fever, chills and night sweats. He had a tuberculin skin test in prison which was apparently negative. On presentation he was febrile, tachycardic, orthostatic, tachypnic and hypoxic. Chest radiograph revealed infi ltrates in the right mid and lower lobes and left lower lobe. The patient was admitted to step-down unit with diagnoses of severe sepsis, multilobar pneumonia, and hypovolemic hyponatremia. Sputum cultures later grew MRSA and Pseudomonas aeruginosa. Bronchial aspirate cultures again grew MRSA and Pseudomonas aeruginosa. Bronchial biopsy showed severe inflammation without malignancy. After treatment patient showed dramatic improvement and was discharged.
Conclusions: In this patient without any apparent risk factors for developing healthcare-associated pneumonia, he was found to have co-infection with MRSA and Pseudomonas aeruginosa. While community-acquired MRSA infections have been well-described among prisoners, community-acquired transmission of Pseudomonas aeruginosa infections is uncommonly reported amongst healthy adults. Healthcare providers need to be aware that prison inmates are probably at higher risk of transmission of MRSA. More stringent hand washing amongst high risk populations including prison inmates should be emphasized to prevent widespread transmission of MRSA.
Keywords: community-acquired MRSA, Pseudomonas aeruginosa, prison inmates
In Press
17 Mar 2024 : Case report
Contrast-Enhanced Ultrasonography in Diagnosing Intravascular Large B-Cell Lymphoma Infiltrating Liver Sinu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943070
17 Mar 2024 : Case report
Rare Presentation of Rapidly Involuting Congenital Hemangioma of the Skull: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.943370
18 Mar 2024 : Case report
Perineal Benign Symmetric Lipomatosis in a Female Patient: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.943803
18 Mar 2024 : Case report
Successful Endovascular Microembolization for Post-Traumatic High-Flow Priapism: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.943467
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250