Mutale Wilbroad, Sahay Keya M, Hartley John, Thompson Dominic, Ratnasinghe Didi, Hudson Lee, Hulse Eleanor, Fellows Greg
London School of Hygiene and Tropical Medicine, Clinical Research Unit, London, UK.
BMC Res Notes. 2014 Dec 1;7:862. doi: 10.1186/1756-0500-7-862.
Brain abscess are uncommon childhood infection. Brain abscess caused by Panton-Valentine Leukocidin positive Community acquired Methicillin Resistant Staphylococcal aureus have never been reported in the United Kingdom.
We report a case of a previously well 11-month old boy of Indian origin who developed a parietal lobe abscess from PVL positive CA-MRSA.
This case is one of the few described cases of brain abscess caused by PVL CA-MRSA in children. The unusual (insidious) presentation, the absence of a clear staphylococcal focus and the unexpected finding of a CA-MRSA in this patient highlight the challenges of managing such cases in clinical settings and the potential future risk to public health.
脑脓肿是儿童期罕见的感染性疾病。由杀白细胞素阳性的社区获得性耐甲氧西林金黄色葡萄球菌引起的脑脓肿在英国尚未见报道。
我们报告一例11个月大、来自印度裔的此前健康男孩，他因杀白细胞素阳性的社区获得性耐甲氧西林金黄色葡萄球菌感染而发生顶叶脓肿。
该病例是少数几例儿童杀白细胞素阳性社区获得性耐甲氧西林金黄色葡萄球菌引起脑脓肿的病例之一。该患者不寻常（隐匿）的临床表现、缺乏明确的葡萄球菌感染灶以及意外发现社区获得性耐甲氧西林金黄色葡萄球菌，凸显了临床处理此类病例的挑战以及未来对公共卫生的潜在风险。
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