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Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility

Methicillin resistant Staphylococcus aureus (MRSA) is increasingly being described as a cause of acute sinusitis. We present a patient with acute MRSA sinusitis complicated by rapid intracranial extension, marginal vancomycin susceptibility (MIC = 2 mg/L), delayed drainage of intracranial abscess, a...

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Detalles Bibliográficos
Autores principales: Kumar, Parvathi S., Cunnion, Kenji M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784153/
https://www.ncbi.nlm.nih.gov/pubmed/24106631
http://dx.doi.org/10.1155/2013/153239
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author Kumar, Parvathi S.
Cunnion, Kenji M.
author_facet Kumar, Parvathi S.
Cunnion, Kenji M.
author_sort Kumar, Parvathi S.
collection PubMed
description Methicillin resistant Staphylococcus aureus (MRSA) is increasingly being described as a cause of acute sinusitis. We present a patient with acute MRSA sinusitis complicated by rapid intracranial extension, marginal vancomycin susceptibility (MIC = 2 mg/L), delayed drainage of intracranial abscess, and subsequent development of rifampin resistance. Given the relatively high risk of intracranial extension of severe acute bacterial sinusitis and high mortality associated with invasive MRSA infections, we suggest early surgical drainage of intracranial abscesses in these circumstances. We believe this is important given the limited intracranial penetration of currently available treatment options for MRSA, especially those with a vancomycin minimal inhibitory concentration (MIC) of ≥2 mg/L.
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spelling pubmed-37841532013-10-08 Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility Kumar, Parvathi S. Cunnion, Kenji M. Case Rep Pediatr Case Report Methicillin resistant Staphylococcus aureus (MRSA) is increasingly being described as a cause of acute sinusitis. We present a patient with acute MRSA sinusitis complicated by rapid intracranial extension, marginal vancomycin susceptibility (MIC = 2 mg/L), delayed drainage of intracranial abscess, and subsequent development of rifampin resistance. Given the relatively high risk of intracranial extension of severe acute bacterial sinusitis and high mortality associated with invasive MRSA infections, we suggest early surgical drainage of intracranial abscesses in these circumstances. We believe this is important given the limited intracranial penetration of currently available treatment options for MRSA, especially those with a vancomycin minimal inhibitory concentration (MIC) of ≥2 mg/L. Hindawi Publishing Corporation 2013 2013-09-11 /pmc/articles/PMC3784153/ /pubmed/24106631 http://dx.doi.org/10.1155/2013/153239 Text en Copyright © 2013 P. S. Kumar and K. M. Cunnion. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kumar, Parvathi S.
Cunnion, Kenji M.
Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title_full Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title_fullStr Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title_full_unstemmed Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title_short Acute MRSA Sinusitis with Intracranial Extension and Marginal Vancomycin Susceptibility
title_sort acute mrsa sinusitis with intracranial extension and marginal vancomycin susceptibility
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3784153/
https://www.ncbi.nlm.nih.gov/pubmed/24106631
http://dx.doi.org/10.1155/2013/153239
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