title: Community-acquired disseminated methicillin-resistant Staphylococcus aureus infection: case report and clinical implications.
abstract: A 6-year-old girl with community-acquired disseminated infection caused by methicillin-resistant Staphylococcus aureus (MRSA) is described. She had sepsis, meningo-encephalitis, pyomyositis, osteomyelitis, pericarditis and pulmonary embolisation caused by a multi-resistant strain of MRSA. Vancomycin is not routinely recommended as the first-line antimicrobial agent for suspected Staphylococcus aureus infection; however, it should be considered pending susceptibility results in patients presenting with severe sepsis in areas where the prevalence of MRSA is high.
authors.affiliation: Department of Emergency Medicine, St Mary's Hospital, Luodong, Yilan, Taiwan.
authors.forename: Ching-Ming
authors.initials: CM
authors.lastname: Wang
authors.forename: Chih-Hsien
authors.initials: CH
authors.lastname: Chuang
authors.forename: Cheng-Hsun
authors.initials: CH
authors.lastname: Chiu
mesh_terms: D001850:Bone Diseases, Infectious / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D002648:Child; D017714:Community-Acquired Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000382:microbiology; D006801:Humans; D016106:Methicillin Resistance; D011859:Radiography; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*