Missed epidural brain abscess after furunculosis.
Community-associated methicillin-resistant Staphylococcus aureus (ca-MRSA) has been implicated as a major cause of cutaneous skin infections. Invasive infections from ca-MRSA have also been reported, including endocarditis, pneumonia, and necrotizing fasciitis. We describe a case of a missed ca-MRSA epidural brain abscess in a patient with a recent furunculosis who underwent a lumbar puncture for meningitis workup without a prior head computed tomography. When dealing with invasive infections, physicians need to consider ca-MRSA as a possible cause.
Lo
Bruce M
BM
Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA 23507, USA. brucelo1@yahoo.com
Erwin
Eleanor A
EA
D000328:Adult; D001922:Brain Abscess / Q000382:microbiology* / Q000628:therapy; D020802:Epidural Abscess / Q000382:microbiology* / Q000628:therapy; D005260:Female; D005667:Furunculosis / Q000382:microbiology*; D006801:Humans; D016106:Methicillin Resistance; D013207:Staphylococcal Skin Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000302:isolation & purification*