Bacteremic methicillin-resistant Staphylococcus aureus deep neck abscess in a newborn--case report and review of literature.
We describe an unusual localization of methicillin-resistant Staphylococcus aureus infection (MRSA) in a very young newborn. A 3-week-old male infant was admitted with fever, irritability, sialorrhea and stiffed left neck. The ENT examination revealed a deep neck mass and an ultrasound examination showed diffuse swelling of the left latero-pharyngeal area. A CT examination confirmed a deep neck abscess with difficult-to-define borders. Blood and nasopharyngeal cultures returned positive for MRSA. Treatment was started with intravenous teicoplanin and continued for 14 days with a marked decrease in abscess's dimensions and improvement in patient's general condition. MRSA should be suspected in the etiology and treatment of neck abscesses in newborns, infants and young children.
Falup-Pecurariu
Oana
O
Department of Pediatrics, Children's Hospital, Faculty of Medicine, Transilvania University Braşov, Romania.
Leibovitz
Eugene
E
Pascu
Carmen
C
Falup-Pecurariu
Cristian
C
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D008826:Microbial Sensitivity Tests; D009333:Neck; D017703:Retropharyngeal Abscess / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D012720:Severity of Illness Index; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D017334:Teicoplanin / Q000008:administration & dosage; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler
D017334:Teicoplanin