Primary neonatal MRSA pyonephrosis.
Pyonephrosis is uncommon in adult and paediatric population and very rare in neonates. Neonatal candidal and staphylococcal pyonephrosis has been reported earlier, and this is the first reported case of MRSA pyonephrosis. A case of potentially lethal fulminating primary MRSA pyonephrosis with septic shock in a neonate in whom investigations showed refluxing and obstructing left megaureter requiring successful surgical correction has been reported.
The Department of Paediatric Urology, Children's Hospital, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Infirmary Square, Infirmary Road, Leicester, LE1 5WW, UK.
Ramnik
R
Patel
Ngozi
N
Nwokoma
George K
GK
Ninan
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D003131:Combined Modality Therapy; D016638:Critical Illness; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D053018:Pyonephrosis / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D011859:Radiography; D035583:Rare Diseases; D018570:Risk Assessment; D012772:Shock, Septic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D016482:Urinalysis; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy
D000900:Anti-Bacterial Agents