Kuhfahl Keith J, Fasano Charles, Deitch Kenneth
Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
Pediatr Emerg Care. 2009 Oct;25(10):677-80. doi: 10.1097/PEC.0b013e3181bda2c6.
We describe a case of a scapular abscess, osteomyelitis, septic emboli, and occlusive venous thrombosis secondary to community-acquired methicillin-resistant Staphylococcus aureus in an otherwise healthy pediatric patient. This syndrome represents a life-threatening condition that should ideally be recognized and treated in a timely fashion, not only with early antibiotics and hospital admission but also with anticoagulation and possible surgical intervention. Clinicians need to be aware of the severity of the illness that can be caused by community-acquired methicillin-resistant Staphylococcus aureus infections and complications including venous thrombosis and septic emboli.
我们描述了一例原本健康的儿科患者因社区获得性耐甲氧西林金黄色葡萄球菌感染继发肩胛脓肿、骨髓炎、脓毒性栓子和闭塞性静脉血栓形成的病例。这种综合征代表一种危及生命的状况，理想情况下应及时识别并治疗，不仅要早期使用抗生素和住院治疗，还要进行抗凝治疗以及可能的手术干预。临床医生需要意识到社区获得性耐甲氧西林金黄色葡萄球菌感染以及包括静脉血栓形成和脓毒性栓子在内的并发症可能导致的疾病严重程度。
