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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Acta+Radiol+Open
2016 ; 5
(10
): 2058460116677180
Nephropedia Template TP
gab.com Text
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English Wikipedia
Life-threatening MRSA sepsis with bilateral pneumonia, osteomyelitis, and septic
arthritis of the knee in a previously healthy 13-year-old boy: a case report
#MMPMID27867536
Hardgrib N
; Wang M
; Jurik AG
; Petersen KK
Acta Radiol Open
2016[Oct]; 5
(10
): 2058460116677180
PMID27867536
show ga
The incidence and severity of methicillin resistant Staphylococcus aureus (MRSA)
infections are increasing and cause high mortality and morbidity. We describe the
first pediatric case in Scandinavia with Panton-Valentine leucocidin (PVL)
positive MRSA septicemia who developed bilateral pneumonia, arthritis of the
knee, and osteomyelitis of the tibia. Radiological investigation and
interpretation directed the treatment, especially the surgical debridement, and
combined with clinical and biochemical findings lead to close interdisciplinary
treatment with frequent surgical interventions and antimicrobial combination
therapy. The outcome was a healthy patient without sequelae, a favorable course
unlike those previously described in the literature. This case underlines the
necessity of a close interdisciplinary cooperation in children with severe MRSA
infection encompassing pneumonia, septic arthritis, and osteomyelitis, using
different imaging modalities to guide the surgical and antibiotic treatment.