[A case report of urinary tract infection and meningitis caused by methicillin-resistant Staphylococcus aureus (MRSA) after transurethral resection of the prostate].
Nihon Hinyokika Gakkai Zasshi
; 90(3): 466-9, 1999 Mar.
Article
in Ja
| MEDLINE
| ID: mdl-10349306
ABSTRACT
We present a case of meningitis that developed following a urinary tract infection caused by methicillin-resistant Staphylococcus aureus (MRSA) after transurethral resection of the prostate. The patient, a 69-year-old man with diabetes mellitis, underwent transurethral resection of the prostate following a diagnosis of benign prostatic hypertrophy. On the 4 th day after surgery, high fever occurred immediately after the removal of the indwelling urethral catheter. Cultures of urine and blood revealed MRSA. On the 6 th day after surgery, severe lumbago was evident and MRSA was isolated from cerebrospinal fluid. Separate administration of arbekacin or vancomycin, to which the isolated MRSA was sensitive, was not effective. Combined therapy with fosfomycin, vancomycin and human immunoglobulin effectively relieved the inflammation. Although it is generally reported that the pathogenicity of MRSA is low in the urinary tract, this case suggests that a urinary tract infection caused by MRSA can advance to sepsis and meningitis.
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Collection:
01-internacional
Health context:
3_ND
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Prostatectomy
/
Staphylococcal Infections
/
Urinary Tract Infections
/
Methicillin Resistance
/
Meningitis, Bacterial
Limits:
Aged
/
Humans
/
Male
Language:
Ja
Journal:
Nihon Hinyokika Gakkai Zasshi
Year:
1999
Document type:
Article