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Destructive otomastoiditis by MRSA from porcine origin
Author(s) -
Van Hoecke Helen,
Piette Anne,
De Leenheer Els,
Lagasse Nathalie,
Struelens Marc,
Verschraegen Gerda,
Dhooge Ingeboy
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20030
Subject(s) - medicine , mastoidectomy , effusion , surgery , staphylococcus aureus , middle ear , mastoiditis , otitis , cholesteatoma , biology , bacteria , genetics
A 63‐year‐old female pig farmer was referred to our department with a protracted course of otomastoiditis with destruction of the tympanic roof and cerebrospinal fluid leakage. The patient underwent a cortical mastoidectomy with closure of a large dural defect. Cultures of the middle ear effusion yielded a methicillin‐resistant Staphylococcus aureus (MRSA), which upon further analysis was found to be from porcine origin. To our knowledge, this is the first report of a complicated case of otomastoiditis caused by a pig‐type MRSA. Laryngoscope, 119:137–140, 2009