Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess

Erosive chest wall abscess as a complication following disseminated Staphylococcus aureus infection is rare. Here, we reported a case of disseminated Staphylococcus aureus infection with an erosive chest wall abscess. A 15 year-old gentleman, presented with 2 days of left knee swelling and high grad...

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Main Authors: Gew, Lai Teck, Ng, Fei Yin, Hoo, Fan Kee
Format: Article
Language:English
Published: Pakistan Medical Association Rawalpindi Islamabad Branch 2014
Online Access:http://psasir.upm.edu.my/id/eprint/35926/1/Unusual%20site%20of%20disseminated%20Staphylococcus%20infection%20erosive%20chest%20wall%20abscess.pdf
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author Gew, Lai Teck
Ng, Fei Yin
Hoo, Fan Kee
author_facet Gew, Lai Teck
Ng, Fei Yin
Hoo, Fan Kee
author_sort Gew, Lai Teck
collection UPM
description Erosive chest wall abscess as a complication following disseminated Staphylococcus aureus infection is rare. Here, we reported a case of disseminated Staphylococcus aureus infection with an erosive chest wall abscess. A 15 year-old gentleman, presented with 2 days of left knee swelling and high grade fever for 1 week’s duration. On admission, he was in sepsis with multiorgan dysfunction. Further investigations revealed that he had left calf abscess, tricuspid valve infective endocarditis, bilateral pulmonary septic emboli with loculated pleural effusion, bilateral pyelonephritis with left renal abscess, and chest wall abscess. The striking feature was the presence of the abscess which extended through the sternum into the mediastinum with manubriosternal dislocation, involvement of bilateral sternoclavicular joints and left clavicle cortical erosion. Both cultures from blood and pus (left calf abscess) grew Methicillin Sensitive Staphyloccus Aureus (MSSA).
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spelling upm.eprints-359262017-10-30T08:56:59Z http://psasir.upm.edu.my/id/eprint/35926/ Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess Gew, Lai Teck Ng, Fei Yin Hoo, Fan Kee Erosive chest wall abscess as a complication following disseminated Staphylococcus aureus infection is rare. Here, we reported a case of disseminated Staphylococcus aureus infection with an erosive chest wall abscess. A 15 year-old gentleman, presented with 2 days of left knee swelling and high grade fever for 1 week’s duration. On admission, he was in sepsis with multiorgan dysfunction. Further investigations revealed that he had left calf abscess, tricuspid valve infective endocarditis, bilateral pulmonary septic emboli with loculated pleural effusion, bilateral pyelonephritis with left renal abscess, and chest wall abscess. The striking feature was the presence of the abscess which extended through the sternum into the mediastinum with manubriosternal dislocation, involvement of bilateral sternoclavicular joints and left clavicle cortical erosion. Both cultures from blood and pus (left calf abscess) grew Methicillin Sensitive Staphyloccus Aureus (MSSA). Pakistan Medical Association Rawalpindi Islamabad Branch 2014 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/35926/1/Unusual%20site%20of%20disseminated%20Staphylococcus%20infection%20erosive%20chest%20wall%20abscess.pdf Gew, Lai Teck and Ng, Fei Yin and Hoo, Fan Kee (2014) Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess. Rawal Medical Journal, 39 (3). pp. 356-358. ISSN 0303-5212 https://www.rmj.org.pk/?mno=43946
spellingShingle Gew, Lai Teck
Ng, Fei Yin
Hoo, Fan Kee
Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title_full Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title_fullStr Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title_full_unstemmed Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title_short Unusual site of disseminated Staphylococcus infection: erosive chest wall abscess
title_sort unusual site of disseminated staphylococcus infection erosive chest wall abscess
url http://psasir.upm.edu.my/id/eprint/35926/1/Unusual%20site%20of%20disseminated%20Staphylococcus%20infection%20erosive%20chest%20wall%20abscess.pdf
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