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Community-acquired methicillin-resistant Staphylococcus aureus pyomyositis with myelitis: A rare occurrence with diverse presentation

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Author(s): Kulkarni Girish | Pal P | Veena Kumari H | Goyal M | Kovoor J.M.E | Nadig Savitha | Arakere Gayathri

Journal: Neurology India
ISSN 0028-3886

Volume: 57;
Issue: 5;
Start page: 653;
Date: 2009;
Original page

Keywords: Community-acquired methicillin-resistant Staphylococcus aureus | MRSA septicemia | myelitis | osteomyelitis | pyomyositis | vancomycin

ABSTRACT
Staphylococcus aureus is the most common bacterial pathogen implicated in pyomyositis. There are increasing reports of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections. The present case report brings out the diverse clinical manifestations of MRSA infection in the form of paraspinal pyomyositis, myelitis, spinal osteomyelitis, and pneumonia. Molecular typing of the organism confirmed the diagnosis. Patient was successfully treated with vancomycin and surgical drainage. Consideration of the possibility of methicillin-resistance and appropriate antibiotic selection is vital in the treatment of serious community-acquired staphylococcal infections.

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