title: [Methicillin resistant Staphylococcus aureus community acquired meningitis: a case report].
abstract: Community-acquired Staphylococcus aureus (CA-SA) infections are becoming more frequent. Most cases present an infection of skin and soft tissue, and the most invasive forms observed are osteoarticular and pleuropulmonary infections. Meningitis is a rare manifestation of Staphylococcus aureus infections. We describe an unusual case of CA-MRSA infection. An infant of eight months presented with signs of irritability and 4 days duration fever, with alternating sensory and abdomen pain. Acute abdomen surgery was discarded and hospitalization was decided with diagnosis of sepsis due to probable enteral focus; antibiotics were indicated. Blood cultures and cerebrospinal fluid culture were positive for MRSA. Sepsis with meningitis by MRSA was diagnosed. On the 7th day of hospitalization the infant presented neurological signs and symptoms. On the resolution computed tomography and the magnetic resonance, images compatible with myelitis were observed. The patient complied with the 21 day endovenous treatment, and showed positive results, being discharged from hospital a month after the appearance of the symptoms.
authors.affiliation: Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors.forename: Roxana Gabriela
authors.initials: RG
authors.lastname: Spini
authors.affiliation: Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors.forename: Verónica
authors.initials: V
authors.lastname: Ferraris
authors.affiliation: Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors.forename: María Patricia
authors.initials: MP
authors.lastname: Glasman
authors.affiliation: Clínica Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors.forename: Guillermina
authors.initials: G
authors.lastname: Orofino
authors.affiliation: Hematooncología Pediátrica, Hospital General de Niños Pedro de Elizalde.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Casanovas
authors.affiliation: Unidad de Cuidados Intensivos, Hospital General de Niños Pedro de Elizalde, Ciudad Autónoma de Buenos Aires.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Debaisi
mesh_terms: D017714:Community-Acquired Infections / Q000150:complications; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000382:microbiology*; D055624:Methicillin-Resistant Staphylococcus aureus; D009187:Myelitis / Q000150:complications / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications