title: Destructive otomastoiditis by MRSA from porcine origin.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium. helen.vanhoecke@ugent.be
authors.forename: Helen
authors.initials: H
authors.lastname: Van Hoecke
authors.forename: Anne
authors.initials: A
authors.lastname: Piette
authors.forename: Els
authors.initials: E
authors.lastname: De Leenheer
authors.forename: Nathalie
authors.initials: N
authors.lastname: Lagasse
authors.forename: Marc
authors.initials: M
authors.lastname: Struelens
authors.forename: Gerda
authors.initials: G
authors.lastname: Verschraegen
authors.forename: Ingeboy
authors.initials: I
authors.lastname: Dhooge
mesh_terms: 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