title: An unexpected diagnosis of methicillin-resistant Staphylococcus aureus septic arthritis.
abstract: Hand infections can result in serious tissue damage and gross functional impairment. This is particularly true in the case of septic arthritis, the most destructive of all joint disease. We report the first case of methicillin-resistant Staphylococcus aureus septic arthritis of the distal interphalangeal joint to have occurred in a patient devoid of all risk factors traditionally associated with a hospital-associated infection (HA-MRSA). The afflicted patient's only exposure to the pathogen was during her role as a community carer for an asymptomatic carrier. Delayed treatment allowed the infection to rapidly destroy surrounding soft tissue and necessitate in the need for arthrodesis. It is, therefore imperative that clinicians maintain a low index of suspicion for methicillin-resistant Staphylococcus aureus as the causative pathogen in similar cases. Consequently, consideration of empirical antibiotic therapy for this patient subgroup is discussed.
authors.affiliation: Derby City General Hospital, Derby, UK;
authors.forename: Tanujan
authors.initials: T
authors.lastname: Thangarajah
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Neal
authors.forename: Thomas D
authors.initials: TD
authors.lastname: Kennedy