title: Community-acquired methicillin-resistant Staphylococcus aureus pyomyositis with myelitis: A rare occurrence with diverse presentation.
abstract: Staphylococcus aureus is the most common bacterial pathogen implicated in pyomyositis. There are increasing reports of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections. The present case report brings out the diverse clinical manifestations of MRSA infection in the form of paraspinal pyomyositis, myelitis, spinal osteomyelitis, and pneumonia. Molecular typing of the organism confirmed the diagnosis. Patient was successfully treated with vancomycin and surgical drainage. Consideration of the possibility of methicillin-resistance and appropriate antibiotic selection is vital in the treatment of serious community-acquired staphylococcal infections.
authors.affiliation: Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka - 560 029, India. gbk5000@rediffmail.com
authors.forename: Girish Baburao
authors.initials: GB
authors.lastname: Kulkarni
authors.forename: P K
authors.initials: PK
authors.lastname: Pal
authors.forename: H B
authors.initials: HB
authors.lastname: Veena Kumari
authors.forename: M
authors.initials: M
authors.lastname: Goyal
authors.forename: J M E
authors.initials: JM
authors.lastname: Kovoor
authors.forename: Savitha
authors.initials: S
authors.lastname: Nadig
authors.forename: Gayathri
authors.initials: G
authors.lastname: Arakere
mesh_terms: D017714:Community-Acquired Infections / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D016106:Methicillin Resistance / Q000502:physiology*; D009187:Myelitis; D052880:Pyomyositis; D013116:Spinal Cord / Q000382:microbiology / Q000473:pathology; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000472:pathogenicity*; D055815:Young Adult