Journal List > Korean J Perinatol > v.26(4) > 1013779

Lee, Hwang, Yi, Lee, Yun, Chae, Choi, Kim, Kim, and Lim: Aggressively Progressed MRSA Sepsis Accompanied by Endophthalmitis and Endocarditis in Preterm Infant

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a critical source of infections in neonatal intensive care units. Early diagnosis and treatment are important due to the significant morbidity of MRSA infection. MRSA sepsis can be disseminated despite antibiotics, therefore the extent of the infection should be evaluated. Common complications of MRSA sepsis include infective endocarditis, pneumonia, osteomyelitis, meningitis, septic shock.Urgent evaluation of other possible suppurative complications in neoate are necessary. Therefore echocardiogram, chest X-ray, ophthalmic examination, brain sonography and spinal tapping are needed. In this study, we present a case of MRSA sepsis in a preterm infant, accompanied by endophthalmitis and endocarditis in spite of the early diagnosis and treatment.

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Fig. 1.
Clinical photographs of both eyes with endophthalmitis.
kjp-26-369f1.tif
Fig. 2.
Echocardiography showing a large vegetation on tricuspid valve.
kjp-26-369f2.tif
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