RESUMEN
Spontaneous methicillin-resistant Staphylococcus aureus (MRSA) meningitis is extremely rare and has a high mortality rate. We report a case of MRSA meningitis in an otherwise healthy young adult female with no recent trauma or neurosurgical interventions. Despite antibiotics she suffered a vasculitis-induced cerebral vascular ischemic event.
Asunto(s)
Meningitis Bacterianas/microbiología , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Infecciones Estafilocócicas/microbiología , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Aspirina , Cerebelo/diagnóstico por imagen , Femenino , Humanos , Meningitis Bacterianas/diagnóstico , Meningitis Bacterianas/tratamiento farmacológico , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Prednisona/uso terapéutico , Rifampin/uso terapéutico , Factores de Riesgo , Índice de Severidad de la Enfermedad , Infecciones Estafilocócicas/diagnóstico , Infecciones Estafilocócicas/tratamiento farmacológico , Vancomicina/uso terapéutico , Adulto JovenAsunto(s)
Antineoplásicos/efectos adversos , Erupciones por Medicamentos/etiología , Eosinofilia/inducido químicamente , Eosinófilos/efectos de los fármacos , Indoles/efectos adversos , Queratosis/inducido químicamente , Inhibidores de Proteínas Quinasas/efectos adversos , Piel/efectos de los fármacos , Sulfonamidas/efectos adversos , Anciano de 80 o más Años , Biopsia , Erupciones por Medicamentos/patología , Eosinofilia/patología , Eosinófilos/patología , Humanos , Queratosis/patología , Masculino , Persona de Mediana Edad , Piel/patología , VemurafenibRESUMEN
There is little discussion of tumors arising in the digits in the dermatology literature. The patient with an undifferentiated mass of the finger is frequently encountered in the clinic, and variances in presentation of common and uncommon entities pose a challenge that may prompt further investigation for proper diagnosis and treatment. In this review, the authors illustrate the approach and work-up of an unknown digit mass of a 45-year-old female patient. They go on to discuss the presentation and treatment of common tumor lesions of the finger likely to be encountered in the dermatologist's clinic including: ganglion cyst/mucous cyst, giant-cell tumor, verruca vulgaris, epidermal inclusion cyst, poroma, porocarcinoma, squamous cell carcinoma, basal cell carcinoma, melanoma, infantile digital fibromatosis, acquired digital fibrokeratoma, Koenen's tumor, schwannoma, cutaneous neurofibroma, pyogenic granuloma, hemangioma, glomus tumor, epithelioid sarcoma, and metastatic disease.