Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

06 March 2009

A rare case of community-acquired methicillin resistant Staphylococcus aureus and Pseudomonas pneumonia

Vishal B Parekh, Chinedu Ivonye, Sahil Tah, Phillipa Amene

Am J Case Rep 2009; 10:27-30 :: ID: 869592

Abstract

Background: Incidences of community-acquired methicillin resistant Staphylococcus aureus (MRSA) infections have increased in the recent years. Little evidence exists whether community-acquired MRSA predisposes to increased incidence of other concurrent infections, especially in high risk groups such as prison inmates.
Case Report: A 34-year-old African American male, recently released from prison, presented to our emergency department complaining of cough with several episodes of coughing up blood and associated weight loss, fever, chills and night sweats. He had a tuberculin skin test in prison which was apparently negative. On presentation he was febrile, tachycardic, orthostatic, tachypnic and hypoxic. Chest radiograph revealed infi ltrates in the right mid and lower lobes and left lower lobe. The patient was admitted to step-down unit with diagnoses of severe sepsis, multilobar pneumonia, and hypovolemic hyponatremia. Sputum cultures later grew MRSA and Pseudomonas aeruginosa. Bronchial aspirate cultures again grew MRSA and Pseudomonas aeruginosa. Bronchial biopsy showed severe inflammation without malignancy. After treatment patient showed dramatic improvement and was discharged.
Conclusions: In this patient without any apparent risk factors for developing healthcare-associated pneumonia, he was found to have co-infection with MRSA and Pseudomonas aeruginosa. While community-acquired MRSA infections have been well-described among prisoners, community-acquired transmission of Pseudomonas aeruginosa infections is uncommonly reported amongst healthy adults. Healthcare providers need to be aware that prison inmates are probably at higher risk of transmission of MRSA. More stringent hand washing amongst high risk populations including prison inmates should be emphasized to prevent widespread transmission of MRSA.

Keywords: community-acquired MRSA, Pseudomonas aeruginosa, prison inmates

Add Comment 0 Comments

In Press

Case report  Romania

Spontaneous Evisceration of a Parastomal Hernia with Small- Bowel Strangulation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.949330  

Case report  Saudi Arabia

Term Pregnancy in Herlyn-Werner-Wunderlich Syndrome: Successful Management of Congenital Obstructed Hemivag...

Am J Case Rep In Press; DOI: 10.12659/AJCR.947938  

Case report  India

HIV-Negative African American Man with Gastrointestinal Kaposi Sarcoma Associated with Adalimumab Treatment...

Am J Case Rep In Press; DOI: 10.12659/AJCR.947163  

Case report  Switzerland

Adult Acute Appendicitis Complicated by Intestinal Malrotation: A Case Analysis

Am J Case Rep In Press; DOI: 10.12659/AJCR.949194  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 101,695

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 54,424

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 37,967

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

07 Jul 2023 : Case report  Saudi Arabia 25,852

A Classical Case of Cesarean Scar Endometriosis in a 35-Year-Old Woman Presenting with Cyclical Abdominal P...

DOI :10.12659/AJCR.940200

Am J Case Rep 2023; 24:e940200

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923