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Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess


Gew, Lai Teck and Ng, Fei Yin and Hoo, Fan Kee (2014) Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess. Rawal Medical Journal, 39 (3). pp. 356-358. ISSN 0303-5212


Erosive chest wall abscess as a complication following disseminated Staphylococcus aureus infection is rare. Here, we reported a case of disseminated Staphylococcus aureus infection with an erosive chest wall abscess. A 15 year-old gentleman, presented with 2 days of left knee swelling and high grade fever for 1 week’s duration. On admission, he was in sepsis with multiorgan dysfunction. Further investigations revealed that he had left calf abscess, tricuspid valve infective endocarditis, bilateral pulmonary septic emboli with loculated pleural effusion, bilateral pyelonephritis with left renal abscess, and chest wall abscess. The striking feature was the presence of the abscess which extended through the sternum into the mediastinum with manubriosternal dislocation, involvement of bilateral sternoclavicular joints and left clavicle cortical erosion. Both cultures from blood and pus (left calf abscess) grew Methicillin Sensitive Staphyloccus Aureus (MSSA).

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Official URL or Download Paper: https://www.rmj.org.pk/?mno=43946

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Pakistan Medical Association Rawalpindi Islamabad Branch
Keywords: Staphylococcus aureus; Sepsis; Disseminated Staphylococcus aureus infection; Bacteremia; Multiorgan dysfunction; Methicillin; Mediastinum; Abscess; Chest wall abscess; Infective endocarditis
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 11 Feb 2016 08:44
Last Modified: 30 Oct 2017 08:56
URI: http://psasir.upm.edu.my/id/eprint/35926
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