Destructive otomastoiditis by MRSA from porcine origin.
A 63-year-old female pig farmer was referred to our department with a protracted course of otomastoiditis with destruction of the tympanic roof and cerebrospinal fluid leakage. The patient underwent a cortical mastoidectomy with closure of a large dural defect. Cultures of the middle ear effusion yielded a methicillin-resistant Staphylococcus aureus (MRSA), which upon further analysis was found to be from porcine origin. To our knowledge, this is the first report of a complicated case of otomastoiditis caused by a pig-type MRSA.
Van Hoecke
Helen
H
Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium. helen.vanhoecke@ugent.be
Piette
Anne
A
De Leenheer
Els
E
Lagasse
Nathalie
N
Struelens
Marc
M
Verschraegen
Gerda
G
Dhooge
Ingeboy
I
D000382:Agricultural Workers' Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D000818:Animals; D005260:Female; D006801:Humans; D008417:Mastoiditis / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D013552:Swine