[A case of multiple organ failure with massive intestinal bleeding caused by methicillin-resistant Staphylococcus aureus in a postcystectomy patient--efficacy of mask continuous positive airway pressure training and intraarterial embolization].
A 51-year-old man underwent radical cystectomy with tubeless cutaneous ureterostomy. Methicillin-resistant Staphylococcus aureus (MRSA) enteritis developed postoperatively. MRSA caused critical infections such as pneumonia and sepsis, which subsequently progressed to adult respiratory distress syndrome, massive melena and multiple organ failure. The patient was rescued by intensive management including mask continuous positive airway pressure, systemic vancomycin administration and intraarterial embolization to stop jejunal bleeding.
Chiba
K
K
Department of Urology, Fujisawa City Hospital.
Hirokawa
M
M
Yumura
Y
Y
Okada
Y
Y
Hashiba
T
T
Tomoda
T
T
Abe
H
H
Ashida
H
H
D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000382:microbiology* / Q000628:therapy*; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation; D008297:Male; D008397:Masks; D016106:Methicillin Resistance; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000628:therapy; D013203:Staphylococcal Infections / Q000628:therapy*; D013211:Staphylococcus aureus / Q000187:drug effects*; D001749:Urinary Bladder Neoplasms / Q000601:surgery