alexa
Reach Us +1-947-333-4405

GET THE APP

Community Acquired MRSA Causing Mediastinitis In A Young Girl: A Case Report | 51379
ISSN: 2332-0877

Journal of Infectious Diseases & Therapy
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
Recommended Conferences
Google scholar citation report
Citations : 1200

Journal of Infectious Diseases & Therapy received 1200 citations as per google scholar report

Indexed In
  • Index Copernicus
  • Google Scholar
  • Open J Gate
  • RefSeek
  • Hamdard University
  • EBSCO A-Z
  • OCLC- WorldCat
  • Publons
  • Euro Pub
Share This Page

Community acquired MRSA causing mediastinitis in a young girl: A case report

3rd Euro-Global Conference on Infectious Diseases

Sunita Parajuli

New York School of Medicine, USA

Posters & Accepted Abstracts: J Infect Dis Ther

DOI: 10.4172/2332-0877.C1.012

Abstract
Mediastinitis is defined as acute or chronic inflammation of the mediastinal structures and generally has a low incidence. Invasive community acquired methicillin resistant Staphylococcus aureus (ca-MRSA) is a rare serious life threatening infection. The common conditions are cardiac revascularization procedures or esophageal perforation or a descending necrotizing mediastinits secondary to an odontogenic focus. We present a rare case of acute necrotizing mediastinitis in a healthy young girl about 1 week after diagnosis of influenza. An 18 year old female from Brooklyn with a past medical history of Gastroesophageal reflux disease and a recent diagnosis of influenza-A, 6 days back presented to the emergency room with fevers, weakness and chest pain for 4 days. Examination was pertinent for lethargy, ill looking female with tachycardia, tachypenia and decreased breath sounds bilaterally, subsequent work up revealed elevated white blood cell count, CRP and ESR. CXR revealed mediastinal widening with normal lung parenchyma. A CT scan of chest revealed diffuse confluent mediastinal adenopathy as well as diffuse thickening surrounding the esophagus with infiltration of surrounding mediastinal fat suggestive of diffuse esophagitis and mediastinitis. Patient was started on broad spectrum antibiotics. The progressive symptoms and imaging findings led to thoracotomy that revealed infected thymic tissue with surrounding induration and infection in the mediastinal and pretracheal space which was debrided. The bacterial cultures from the tissue as well as pleural fluid grew methicillin resistant Staphylococcus aureus. Pathology from the tissue revealed acute necrotizing fibrinopurulent inflammation and fibrinopurulent exudate. Patient was treated with Vancomycin and Piperacillin/ Tazobactam which was later targeted to MRSA patient was discharged home on IV Daptomycin and completed 5 weeks of therapy which was subsequently changed to PO Doxycycline. An MRI performed at 7 weeks of therapy revealed significant improvement in prior mediastinits with no residual fluid or stranding.
Biography

Email: [email protected] [email protected]

Top