Cellulitis in Grade III ankle sprain requiring treatment for antibiotic-resistant bacteria.
This case report describes a novel occurrence of a Grade III ankle sprain complicated by cellulitis. The patient ultimately required aspiration of an extra-articular fluid collection and treatment with parenteral antibiotics due to worsening of the infection despite treatment with second-generation cephalosporins. This individual's infection was consistent with MRSA-cellulitis. Cellulitis, in the context of a preceding ankle sprain, has not been reported in the literature; the resultant edema from the injury may have served as the nidus for infection. MRSA comprises a significant proportion of soft-tissue infections in the ambulatory setting, and physicians should incorporate this trend into therapeutic strategies for their infected patients.
Cloran
Francis J
FJ
Dyess AFB, 697 Louisiana Dr., TX 79607, USA. francis.cloran@dyess.af.mil
D000328:Adult; D016512:Ankle Injuries / Q000150:complications*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002481:Cellulitis / Q000188:drug therapy* / Q000209:etiology / Q000382:microbiology; D024881:Drug Resistance, Bacterial; D006801:Humans; D008297:Male; D012916:Soccer / Q000293:injuries*; D013180:Sprains and Strains / Q000150:complications*
D000900:Anti-Bacterial Agents