An Unusual Case of Polymicrobial Bacteremia From Methicillin-Resistant Staphylococcus Aureus and Shigella.
human immunodeficiency virus
methicillin-resistant staphylococcus aureus
morbidity
polymicrobial bacteremia
shigella
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
10 Dec 2020
10 Dec 2020
Historique:
entrez:
18
1
2021
pubmed:
19
1
2021
medline:
19
1
2021
Statut:
epublish
Résumé
Bloodstream infections (BSIs) are a significant cause of morbidity and mortality worldwide. Patients with polymicrobial BSI have a two-fold risk of hospital mortality as compared with patients with monomicrobial BSI. We present a case of a 53-year-old African American male with a medical history significant for hyperlipidemia, coronary artery disease, hypertension, anxiety, depression, and human immunodeficiency virus non-adherent to antiretroviral therapy who presented to the hospital with complaints of shoulder pain and diarrhea. The physical exam was significant for multiple skin abscesses, the largest being 5x6 cm. Blood culture grew Shigella and methicillin-resistant Staphylococcus aureus (MRSA), stool culture grew Shigella, and wound culture after incision and drainage grew MRSA. Transthoracic echocardiogram showed no vegetations. He was treated with vancomycin and ceftriaxone. The patient's clinical condition improved, and diarrhea resolved. Patient repeat cultures showed no growth. As polymicrobial bacteremia is associated with higher morbidity and mortality, early initiation of antibiotics and appropriate antibiotic therapy are pivotal.
Identifiants
pubmed: 33457119
doi: 10.7759/cureus.12011
pmc: PMC7797462
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e12011Informations de copyright
Copyright © 2020, Shehi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Clin Lab Med. 2015 Jun;35(2):225-46
pubmed: 26004640
Infect Control Hosp Epidemiol. 2015 Dec;36(12):1417-22
pubmed: 26372679
Clin Infect Dis. 2007 Nov 1;45(9):1132-40
pubmed: 17918074
J Infect. 2012 Aug;65(2):119-27
pubmed: 22410381
Epidemiol Infect. 2007 Aug;135(6):1037-42
pubmed: 17156500
Int J Antimicrob Agents. 2019 Dec;54(6):716-722
pubmed: 31560960
Clin Infect Dis. 2012 May;54(10):1448-54
pubmed: 22474223
Clin Infect Dis. 2009 Dec 15;49(12):e130-8
pubmed: 19916797
Clin Infect Dis. 2020 Jun 24;71(1):109-115
pubmed: 31621824
Ann Intern Med. 1970 Sep;73(3):387-92
pubmed: 4917179