Cerebral abscesses due to methicillin-resistant Staphylococcus aureus complicating stroke
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- 作者：Carfagna ; Paolo ; Bianco ; Gianluca ; Pavoni ; Gianluca ; Tarasi ; David ; Capone ; Alessandro ; Venditti ; Mario
- 关键词：Stroke ; Brain abscess ; Methicillin-resistant Staphylococcus aureus
- 刊名：European Journal of Internal Medicine
- 出版年：2000
- 出版时间：February, 2000
- 年：2000
- 卷：11
- 期：1
- 页码：51-54
- 全文大小：157 K
文摘
A 76-year-old man suffered a stroke with global aphasia and right hemiplegia. The ischemic infarction was demonstrated by computed tomography. After 2 months, multiple brain abscesses developed at the site of the original infarction. Blood and abscess aspiration cultures yielded a methicillin-resistant Staphylococcus aureus (MRSA). Infection was probably caused by hematogenous dissemination from aspiration pneumonia. Secondary localization in a previous hemorrhage or infarction area, as a consequence of a bloodstream infection, is rarely documented, with only a few cases reported in the medical literature. To our knowledge, this is the first case with this antibiotic-resistant organism.