Methicillin-resistant Staphylococcus aureus endocarditis after transurethral prostatic resection.
We report the first case, to our knowledge, of methicillin-resistant Staphylococcus aureus endocarditis complicating transurethral prostatic resection for benign prostatic hyperplasia. The patient had been catheterized preoperatively because of urinary retention and, postoperatively, developed pyrexia with persistent methicillin-resistant S. aureus-positive blood cultures. The cause remained elusive, despite extensive investigations (including echocardiography), until he developed embolic phenomena pathognomonic of infective endocarditis 1 month into treatment with intravenous vancomycin.
Vasoo
S
S
Department of Medicine, National University Hospital, Singapore, Singapore. vasoos@singnet.com.sg
Chin
C M
CM
Tambyah
P A
PA
D000368:Aged; D004697:Endocarditis, Bacterial / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D008297:Male; D016106:Methicillin Resistance; D011470:Prostatic Hyperplasia / Q000601:surgery; D013203:Staphylococcal Infections / Q000188:drug therapy* / Q000209:etiology*; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*