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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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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. |
format | Online Article Text |
id | pubmed-3784153 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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