B0836
Alternate Nomenclature
SAMN38637737
External Id
Wayne State University
INSDC center name
2023-12-04T00:00:00Z
INSDC first public
2024-09-09T07:25:33.393Z
INSDC last update
SRS20736346
INSDC secondary accession
live
INSDC status
TJMBMDMGMK
Kreiswirth spa type
Pathogen.cl
NCBI submission model
Pathogen.cl.1.0
NCBI submission package
none
Other Isolates from Patient
Detroit Medical Center > Berti
Provenance
t002
Ridom spa type
SRS20736346
SRA accession
Andrew D. Berti
collected_by
2021-11-08
collection_date
alias: B0836
description
ST105-MRSA-II CC5
genotype
USA: Detroit, MI
geo_loc_name
Homo sapiens
host
63
host_age
Patient with history of ventilator-dependent respiratory failure secondary to COVID-19 pneumonia and multiple ischemic cerebrovascular accidents presents from extended care facility with acute mental status changes. Patient was diagnosed with polymicrobial bacteremia including methicillin-resistant Staphylococcus aureus and multiple gram-negative organisms managed with daptomycin plus cefepime transitioned to vancomycin, ceftriaxone and minocycline on discharge. Clinical course was complicated by a large necrotic sacral decubitus ulcer extending to the bone as a presumed bacteremia source, mucus plugging versus atelactasis resulting in hypoxia, non-ST segement elevation myocardial infarction resulting in pulseless electrical activity requiring two rounds of cardiopulmonary resuscitation and epinepherine before return of spontaneous circulation, anemia requiring multiple transfusions and severe peripheral vasoocclusive disease. Patient was denied placement at a long term acute care facility and discharged to a skilled nursing facility. Duration of staphylococcal bacteremia: 6 days.
host_description
decubitus ulcer
host_disease
chronic disease
host_disease_outcome
male
host_sex
BSS157
host_subject_id
blood
isolation_source
42.33 N 83.05 W
lat_lon
resistant
methicillin susceptibility
Staphylococcus aureus
http://purl.obolibrary.org/obo/NCBITaxon_1280
organism
BSN157
strain
BSN157
title