Methicillin-resistant Staphylococcus aureus bacteraemia and epidural abscess in a neonate

A 24‐day‐old boy presented with fever, irritability and poor feeding. Blood culture grew methicillin‐resistant Staphylococcus aureus. Cerebrospinal fluid analysis showed pleocytosis, and methicillin‐resistant Staphylococcus aureus grew from enrichment broth. Magnetic resonance imaging revealed an ep...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2015-04, Vol.51 (4), p.458-460
Main Authors: Stewart, Phoebe, Khatami, Ameneh, Loughran-Fowlds, Alison, Isaacs, David
Format: Article
Language:English
Subjects:
Bacteremia - diagnosis
Central Nervous System Bacterial Infections - diagnosis
Cervical Vertebrae
epidural abscess
Epidural Abscess - diagnosis
Epidural Abscess - microbiology
Humans
Infant, Newborn
infectious diseases
Male
Meningitis
methicillin-resistant Staphylococcus aureus
Methicillin-Resistant Staphylococcus aureus - isolation & purification
neonatology
Pediatrics
Staphylococcal Infections - diagnosis
Staphylococcus aureus
Staphylococcus infections
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Description
Summary:A 24‐day‐old boy presented with fever, irritability and poor feeding. Blood culture grew methicillin‐resistant Staphylococcus aureus. Cerebrospinal fluid analysis showed pleocytosis, and methicillin‐resistant Staphylococcus aureus grew from enrichment broth. Magnetic resonance imaging revealed an epidural abscess extending from C2–3 to T8–9. Staphylococcal infections of the central nervous system are uncommon in neonates. This case demonstrates the importance of performing a lumbar puncture in isolated staphylococcal bacteraemia. The case also highlights that cerebrospinal fluid pleocytosis may indicate a parameningeal focus of infection.
ISSN:1034-4810
1440-1754
1440-1754
DOI:10.1111/jpc.12745