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A Severe Case of Disseminated Multifocal Methicillin-Susceptible Staphylococcal Infection in a Diabetic Patient.

التفاصيل البيبلوغرافية
العنوان: A Severe Case of Disseminated Multifocal Methicillin-Susceptible Staphylococcal Infection in a Diabetic Patient.
المؤلفون: Fayed MH; Emergency Medicine, Hamad Medical Corporation, Doha, QAT., Iftikhar H; Emergency Medicine, Hamad Medical Corporation, Doha, QAT., Anjum S; Emergency Medicine, Hamad Medical Corporation, Doha, QAT., Khyatt O; Radiology, Hamad Medical Corporation, Doha, QAT., Najam M; Medical Education, Hamad Medical Corporation, Doha, QAT.
المصدر: Cureus [Cureus] 2022 Mar 25; Vol. 14 (3), pp. e23483. Date of Electronic Publication: 2022 Mar 25 (Print Publication: 2022).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Methicillin-susceptible Staphylococcus aureus  (MSSA) is quite common in the environment. It can lead to a wide range of infections varying from simple boils to disseminated and metastatic infections. Disseminated multifocal MSSA infection without infective endocarditis is extremely rare. We report a case of a 48-year-old diabetic male who presented with complaints of back pain, lower limb weakness, urinary retention, and saddle sensation loss. His imaging showed an epidural abscess, spondylitis, multiple paraspinous abscess collections, iliopsoas and gluteal abscess formation, multiple abdominal abscesses, multiple cavitating lung nodules, left-sided empyema, and azygos venous thrombosis. He was managed with urgent laminectomy and evacuation of spinal epidural abscess. He was admitted under the medical team for further multidisciplinary patient care. Emergency physicians and internists should be able to recognize such cases early on to make appropriate management plans. Misdiagnosis and delay in treatment initiation can lead to high mortality and poor patient outcomes. Advanced imaging techniques should be utilized to avoid missed foci. Improved source control results in better patient outcomes.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Fayed et al.)
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فهرسة مساهمة: Keywords: bacteremia; disseminated; metastatic infection; mrsa; mssa; septic emboli; staphylococcus aureus
تواريخ الأحداث: Date Created: 20220502 Latest Revision: 20220503
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9038576
DOI: 10.7759/cureus.23483
PMID: 35494918
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.23483