Staphylococcus aureus
alias: B0836
collection_date
2021-11-08
strain
BSN157
collected_by
Andrew D. Berti
geo_loc_name
USA: Detroit, MI
host
Homo sapiens
host_disease
decubitus ulcer
isolation_source
blood
lat_lon
42.33 N 83.05 W
methicillin susceptibility
resistant
genotype
ST105-MRSA-II CC5
Ridom spa type
t002
Kreiswirth spa type
TJMBMDMGMK
host_age
63
host_description
Patient with history of ventilator-dependent respiratory failure secondary to COVID-19 pneumonia and multiple ischemic cerebrovascular accidents presents from extended care facility with acute mental status changes. Patient was diagnosed with polymicrobial bacteremia including methicillin-resistant Staphylococcus aureus and multiple gram-negative organisms managed with daptomycin plus cefepime transitioned to vancomycin, ceftriaxone and minocycline on discharge. Clinical course was complicated by a large necrotic sacral decubitus ulcer extending to the bone as a presumed bacteremia source, mucus plugging versus atelactasis resulting in hypoxia, non-ST segement elevation myocardial infarction resulting in pulseless electrical activity requiring two rounds of cardiopulmonary resuscitation and epinepherine before return of spontaneous circulation, anemia requiring multiple transfusions and severe peripheral vasoocclusive disease. Patient was denied placement at a long term acute care facility and discharged to a skilled nursing facility. Duration of staphylococcal bacteremia: 6 days.
host_disease_outcome
chronic disease
host_sex
male
host_subject_id
BSS157
Alternate Nomenclature
B0836
Other Isolates from Patient
none
Provenance
Detroit Medical Center > Berti
BioSampleModel
Pathogen.cl