Community Acquired Methicillin-Resistant Staphylococcus Aureus Preseptal Cellulitis Complicated By Zygomatic Osteomylitis, Cavernous Sinus Thrombosis and Meningitis in a Healthy Child

• Published in: Fetal and pediatric pathology Vol. 30; no. 4; pp. 252 - 256
• Main Authors: Menif, Khaled, Bouziri, Asma, Borgi, Aida, Khaldi, Ammar, Hassine, Lilia Ben, Jaballah, Nejla Ben
• Format: Journal Article
• Language: English
• Published: England Informa Healthcare 14.07.2011; Taylor & Francis
• Subjects: cavernous sinus thrombosis; Cavernous Sinus Thrombosis - etiology; Cavernous Sinus Thrombosis - physiopathology; Cellulitis - complications; Cellulitis - microbiology; Community-Acquired Infections - complications; Community-Acquired Infections - microbiology; Female; Humans; Infant; Meningitis - etiology; Meningitis - physiopathology; Methicillin-Resistant Staphylococcus aureus - pathogenicity; meticillin-resistant; osteomyelitis; Osteomyelitis - etiology; Osteomyelitis - physiopathology; Pneumonia - etiology; Pneumonia - microbiology; Pneumonia - physiopathology; Staphylococcal Infections - complications; Staphylococcal Infections - microbiology; Staphylococcus aureus; Zygoma - pathology
• ISSN: 1551-3815; 1551-3823
• DOI: 10.3109/15513815.2011.555810

We report a case of community-acquired meticillin-resistant Staphylococcus aureus (CA-MRSA) preseptal cellulitis complicated by zygomatic osteomyelitis, cavernous sinus thrombosis, meningitis, and necroziting pneumonia in a previously healthy two and half month old girl. This case exemplifies an aggressive and disseminated CA-MRSA infection with deep venous thrombosis in an infant without predisposing risk factors. The literature is reviewed and recommendations for management are provided.