[A case of staphylococcal enterocolitis caused by methicillin resistant Staphylococcus aureus].
Recently, the frequency of methicillin resistant Staphylococcus aureus (MRSA) infection has been increasing. We experienced a case of postoperative enterocolitis due to MRSA. The patient was an 81-year-old male with benign prostatic hypertrophy. Urine leakage from the penrose drain tube appeared 1 day after suprapubic prostatectomy. We had used intravenous infusion of antibiotic agents including cefodizine (CDZM), imipenem (IPM/CS) and cefmetazol (CMZ). He developed severe diarrhea, high fever, oliguria, leg edema and ascites 24 days after the operation. MRSA was detected from his feces. Toxic shock syndrome toxin-I (TSST-I) was produced by this bacteria the coagulase type of which was type II. The patient was treated with oral vancomycin (1 g/day), to which this bacteria showed sensitivity and the patient showed, improvement, including symptoms, leucocytosis and serum CRP level 12 days after administration of vancomycin.
Masuda
H
H
Department of Urology, Kasukabe Municipal Hospital.
Yamada
T
T
Nagamatsu
H
H
Nagahama
K
K
Negishi
T
T
D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D003428:Cross Infection; D004760:Enterocolitis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D016106:Methicillin Resistance; D011183:Postoperative Complications; D011470:Prostatic Hyperplasia / Q000601:surgery; D013203:Staphylococcal Infections; D014640:Vancomycin / Q000008:administration & dosage*
D014640:Vancomycin