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American Journal of Critical Care. 2009;18: 86-88 doi:10.4037/ajcc2009820
Copyright © 2009 by the American Association of Critical-Care Nurses.
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Cases of Note features peer-reviewed case reports and case series that document clinically relevant findings from critical and high acuity care environments. Cases that illuminate a clinical diagnosis or a management issue in the treatment of critically and acutely ill patients and include discussion of the patient’s experience with the illness or intervention are encouraged. Proposals for future Cases of Note articles may be e-mailed to ajcc{at}aacn.org.

Community-Acquired Methicillin-Resistant Staphylococcus Aureus Epidural Abscess With Bacteremia and Multiple Lung Abscesses: Case Report

By Aaron S. Bruns, MD and Namita Sood, MD. Aaron S. Bruns is a fellow in pulmonary and critical care and Namita Sood is an associate professor in the Department of Pulmonary, Allergy, Critical Care, and Sleep Medicine at The Ohio State University Medical Center, Columbus, Ohio.

Corresponding author: Aaron Bruns, MD, The Ohio State University Medical Center, 201 DHLRI, 473 West 12th Ave, Columbus, OH 43221 (e-mail: Aaron.Bruns{at}osumc.edu).

A systemic infection due to community-acquired methicillin-resistant Staphylococcus aureus occurred in a hospital-naive 17-year-old girl with no history of soft-tissue infection. Although the initial signs and symptoms were indolent, systemic manifestations occurred, including extensive lung parenchymal damage and acute respiratory distress syndrome. The patient required long-term mechanical ventilation and was given linezolid for 8 weeks. Blood cultures eventually became negative for the staphylococci, and the patient was discharged to a rehabilitation facility. A probable source of the infection was the patient’s self-cutting and self-piercing.






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Copyright © 2009 by the American Association of Critical-Care Nurses.