title: Community-acquired methicillin-resistant Staphylococcus aureus epidural abscess with bacteremia and multiple lung abscesses: case report.
abstract: A systemic infection due to community-acquired methicillin-resistant Staphylococcus aureus occurred in a hospital-naive 17-year-old girl with no history of soft-tissue infection. Although the initial signs and symptoms were indolent, systemic manifestations occurred, including extensive lung parenchymal damage and acute respiratory distress syndrome. The patient required long-term mechanical ventilation and was given linezolid for 8 weeks. Blood cultures eventually became negative for the staphylococci, and the patient was discharged to a rehabilitation facility. A probable source of the infection was the patient's self-cutting and self-piercing.
authors.affiliation: Department of Pulmonary, Allergy, Critical Care, and Sleep Medicine at The Ohio State University Medical Center, Columbus, Ohio 43221, USA. Aaron.Bruns@osumc.edu
authors.forename: Aaron S
authors.initials: AS
authors.lastname: Bruns
authors.forename: Namita
authors.initials: N
authors.lastname: Sood
mesh_terms: D000293:Adolescent; D016470:Bacteremia / Q000188:drug therapy / Q000382:microbiology*; D017714:Community-Acquired Infections / Q000188:drug therapy / Q000382:microbiology*; D020802:Epidural Abscess / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D008169:Lung Abscess / Q000188:drug therapy / Q000382:microbiology*; D016106:Methicillin Resistance; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*