Premium
M ethicillin‐resistant S taphylococcus aureus bacteraemia and epidural abscess in a neonate
Author(s) -
Stewart Phoebe,
Khatami Ameneh,
LoughranFowlds Alison,
Isaacs David
Publication year - 2015
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.12745
Subject(s) - medicine , staphylococcus aureus , pleocytosis , cerebrospinal fluid , lumbar puncture , abscess , meningitis , epidural abscess , surgery , pathology , bacteria , genetics , biology
Abstract A 24‐day‐old boy presented with fever, irritability and poor feeding. Blood culture grew methicillin‐resistant Staphylococcus aureus . Cerebrospinal fluid analysis showed pleocytosis, and methicillin‐resistant Staphylococcus aureus grew from enrichment broth. Magnetic resonance imaging revealed an epidural abscess extending from C 2–3 to T 8–9. Staphylococcal infections of the central nervous system are uncommon in neonates. This case demonstrates the importance of performing a lumbar puncture in isolated staphylococcal bacteraemia. The case also highlights that cerebrospinal fluid pleocytosis may indicate a parameningeal focus of infection.