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Int J Lab Hematol ; 29(6): 474-7, 2007 Dec.
Article in English | MEDLINE | ID: mdl-17988305

ABSTRACT

We report a case of a 16-year-old female patient with sickle-cell disease with a liver abscess secondary to methicillin-resistant Staphylococcus aureus (MRSA). She had initially presented with jaundice and abdominal pain and subsequently underwent endoscopic retrograde cholangio-pancreaticography followed by laparoscopic cholecystectomy for removal of gallstones. However, post-cholecystectomy she presented with generalized abdominal pain and computed tomography scan of the abdomen revealed a liver abscess. A pigtail catheter was inserted into the abscess and culture of the aspirate yielded MRSA (susceptibility pattern of the organism was compatible with community-acquired MRSA). She was treated with intravenous clindamycin for 6 weeks with complete resolution of the abscess.


Subject(s)
Anemia, Sickle Cell/complications , Drug Resistance, Bacterial , Liver Abscess/etiology , Methicillin , Staphylococcal Infections/etiology , Staphylococcus aureus/growth & development , Adolescent , Anemia, Sickle Cell/diagnostic imaging , Anemia, Sickle Cell/microbiology , Anti-Bacterial Agents/administration & dosage , Cholecystectomy, Laparoscopic , Clindamycin/administration & dosage , Female , Humans , Infusions, Intravenous , Liver Abscess/diagnostic imaging , Liver Abscess/drug therapy , Liver Abscess/microbiology , Radiography , Staphylococcal Infections/diagnostic imaging , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/isolation & purification
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