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Community-Acquired MRSA Pericarditis and Mediastinitis in a Previously Healthy Infant [Case Report]

Sanchez, Joselito; Schneider, Amanda; Tretter, Justin T; Shopsin, Bo; Al-Qaqaa, Yasir; Khaitan, Alka; Chadha, Tanya
Invasive community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infections disproportionately affect children, but there are few pediatric reports of pericarditis and mediastinitis caused by CA-MRSA in previously healthy children. Here we report a severe case of CA-MRSA pericarditis with extension to the mediastinum and carotid sheath in a previously healthy 8-month-old infant who was successfully treated with surgical interventions and with a combination of daptomycin and vancomycin. The relatively indolent clinical course in this patient was notable given the significant extent of infection. This case highlights the potential virulence of CA-MRSA in previously healthy children and the importance of early diagnosis, prompt drainage, and appropriate antibiotic coverage.
PMCID:6260346
PMID: 31073479
ISSN: 2146-4618
CID: 3919202

Inhaled Corticosteroid for Asthma, A Call for Monitoring in Pediatrics [Meeting Abstract]

Schneider, Amanda; Herzog, Ronit
ISI:000401699800212
ISSN: 1097-6825
CID: 2591382