Abstract | OBJECTIVE: To describe an infant with Lemierre-like syndrome caused by community-associated methicillin-resistant Staphylococcus aureus whose course was complicated by hemorrhagic pericarditis. DESIGN: Case report. SETTING: A 30-bed, pediatric intensive care unit at a tertiary care children's hospital. PATIENT: INTERVENTIONS: MEASUREMENTS AND MAIN RESULTS: Methicillin-resistant Staphylococcus aureus from blood and pleural fluid peel cultures were multi-locus sequence type 8, Panton-Valentine leukocidin-positive, and contained SCCmec IV, findings consistent with USA300 pulsotype. There was complete recovery from this life-threatening infection. CONCLUSIONS: Septic jugular venous thrombophlebitis complicating upper airway infections is a rare but serious acute medical condition. We present an infant with methicillin-resistant Staphylococcus aureus infection and clinical features that overlapped those described by Lemierre, in whom hemorrhagic pericarditis developed while receiving anticoagulation therapy. Anticoagulation, if used, should be closely monitored in this population.
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Authors | K Sarah Hoehn, Jared D Capouya, Robert S Daum, Daniel Glikman, Jeffrey G Gossett, Mina Hafzalah, Daniel Johnson, John Marcinak |
Journal | Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
(Pediatr Crit Care Med)
Vol. 11
Issue 3
Pg. e32-5
(May 2010)
ISSN: 1529-7535 [Print] United States |
PMID | 20453608
(Publication Type: Case Reports, Journal Article)
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Topics |
- Hemorrhagic Disorders
(complications)
- Humans
- Infant
- Intensive Care Units, Pediatric
- Jugular Veins
- Male
- Methicillin-Resistant Staphylococcus aureus
(isolation & purification)
- Pericarditis
(complications, drug therapy, physiopathology)
- Retropharyngeal Abscess
- Staphylococcal Infections
(complications, drug therapy)
- Syndrome
- Thrombophlebitis
(etiology, physiopathology)
- Torticollis
(etiology, physiopathology)
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