Bilateral subretinal abscess in community-acquired meticillin-susceptible Staphylococcus aureus infection.
J R Coll Physicians Edinb
; 50(1): 42-45, 2020 Mar.
Article
in En
| MEDLINE
| ID: mdl-32539036
ABSTRACT
Subretinal abscesses due to endogenous staphylococcal blood stream infection is a rare occurrence. A young adult male presented with subretinal abscesses, necrotising pneumonia, pleural empyema, skin and soft tissue infection, muscle abscesses and deep vein thrombosis. Aspirate from one of the abscesses and blood culture revealed meticillin-susceptible Staphylococcus aureus. We present here a case of probable Panton-Valentine leucocidin (PVL) syndrome. PVL is a cytotoxin produced by S. aureus. Infection with PVL-positive S. aureus produces a clinical disease that is characterised by necrotising pneumonia and disseminated infection that often carries a high mortality. Our patient showed prompt clinical response to cloxacillin that was given for a total duration of 6 weeks. At the end of 6 weeks vision also recovered. The successful outcome in our patient was likely due to early and appropriate antibiotic therapy.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Staphylococcal Infections
/
Community-Acquired Infections
Type of study:
Diagnostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
J R Coll Physicians Edinb
Journal subject:
EDUCACAO
/
HISTORIA DA MEDICINA
/
MEDICINA
Year:
2020
Type:
Article
Affiliation country:
India