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Community‐acquired methicillin‐resistant Staphylococcus aureus skull base osteomyelitis with occipital condylar cerebrospinal fluid leak in an immunocompetent patient
Author(s) -
Tomovic Senja,
Friedel Mark E.,
Liu James K.,
Eloy Jean Anderson
Publication year - 2012
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.23253
Subject(s) - medicine , cerebrospinal fluid rhinorrhea , osteomyelitis , meningitis , skull , cerebrospinal fluid , cerebrospinal fluid leak , sinus (botany) , surgery , staphylococcus aureus , sinusitis , rhinorrhea , pathology , biology , bacteria , botany , genetics , genus
Community acquired methicillin‐resistant Staphylococcus aureus (CA‐MRSA) is emerging as an important pathogen in paranasal sinus disease. However, sinonasal CA‐MRSA has not been reported as a source of central skull base osteomyelitis. We report an unusual case of a previously healthy and immunocompetent adult who developed meningitis, central skull base osteomyelitis, and occipital condylar cerebrospinal fluid rhinorrhea from CA‐MRSA sphenoid sinusitis requiring endoscopic surgical repair. This case clearly demonstrates the expanding spectrum of severe infections caused by CA‐MRSA, which requires prompt diagnosis, a high level of suspicion, and appropriate medical and/or surgical management.