A case report of hepatic abscesses with soft tissue infection caused by methicillin resistant Staphylococcus aureus in a young child

作者：Wu, Xia; Ye, Ying-Zi; Wang, Chuan-Qing; Wang, Ai-Min; He, Lei-Yan; Yu, Hui^*

来源：Medicine, 2017, 96(50): e9260.

DOI：10.1097/MD.0000000000009260

• hepatic abscess
• methicillin-resistant Staphylococcus aureus
• soft tissue infection

Rationale: Pyogenic hepatic abscess in children is a rare clinical condition. Hepatic abscesses caused by methicillin resistant Staphylococcus aureus are extremely rare.
Patient concerns: A 6-year-old boy was referred to a tertiary children's hospital for a 6-day history of right lower abdominal pain and fever. Radiographic findings showed hepatic abscesses and soft tissue abscesses around the left femur.
Diagnoses: Bacteriology of blood, hepatic abscesses, and soft tissue abscesses showed methicillin resistant Staphylococcus aureus.
Interventions: Our patient received adequate drainage of MRSA abscesses and a complete course of antibiotics.
Outcomes: The hepatic abscesses were healed and no recurrence has been founded until now.
Lessons: This report describes an extremely rare case of hepatic abscesses with soft tissue infection caused by MRSA. Adequate drainage and appropriate systemic antibiotics should be considered as a standard treatment of MRSA abscesses in order to reduce the mortality rate and improve the quality of life.

• 出版日期2017-12
• 单位复旦大学