Double Trouble: A Case of Local Anaesthetic Toxicity Followed By Tension Pneumothorax in a Patient of Marfan Syndrome.

Spontaneous pneumothorax in patients with Marfan syndrome is common. Even a small pneumothorax can become a tension pneumothorax under positive pressure ventilation. Sometimes anaesthesiologists have to cater to more than one complication intraoperatively. Thorough knowledge of the subject and availability of monitors and anaesthesiologist in the operation theater as in general anaesthesia during locoregional anaesthesia is mandatory to avoid occurrence of catastrophy.

Community Acquired Methicillin Resistant Staphylococcus Aureus: A Rare Presentation.

Introduction Incidence of community acquired methicillin resistant staphylococcus aureus (CA-MRSA) is increasing. Toxic shock syndrome (TSS), Necrotizing fasciitis (NF), Symmetrical peripheral gangrene (SPG) as a manifestation of CA-MRSA are rare in pediatrics. Case Presentation We report a young boy who presented with TSS, NF and SPG by CA-MRSA following trauma. Conclusion CA-MRSA should be taken into consideration as an etiology for these type of clinical presentations. Early and aggressive surgical and medical intervention are the cornerstone for successful management.