ABSTRACT
Spontaneous methicillin-resistant Staphylococcus aureus (MRSA) meningitis is extremely rare and has a high mortality rate. We report a case of MRSA meningitis in an otherwise healthy young adult female with no recent trauma or neurosurgical interventions. Despite antibiotics she suffered a vasculitis-induced cerebral vascular ischemic event.
Subject(s)
Meningitis, Bacterial/microbiology , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/microbiology , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Aspirin , Cerebellum/diagnostic imaging , Female , Humans , Meningitis, Bacterial/diagnosis , Meningitis, Bacterial/drug therapy , Methicillin-Resistant Staphylococcus aureus/drug effects , Prednisone/therapeutic use , Rifampin/therapeutic use , Risk Factors , Severity of Illness Index , Staphylococcal Infections/diagnosis , Staphylococcal Infections/drug therapy , Vancomycin/therapeutic use , Young AdultSubject(s)
Antineoplastic Agents/adverse effects , Drug Eruptions/etiology , Eosinophilia/chemically induced , Eosinophils/drug effects , Indoles/adverse effects , Keratosis/chemically induced , Protein Kinase Inhibitors/adverse effects , Skin/drug effects , Sulfonamides/adverse effects , Aged, 80 and over , Biopsy , Drug Eruptions/pathology , Eosinophilia/pathology , Eosinophils/pathology , Humans , Keratosis/pathology , Male , Middle Aged , Skin/pathology , VemurafenibABSTRACT
There is little discussion of tumors arising in the digits in the dermatology literature. The patient with an undifferentiated mass of the finger is frequently encountered in the clinic, and variances in presentation of common and uncommon entities pose a challenge that may prompt further investigation for proper diagnosis and treatment. In this review, the authors illustrate the approach and work-up of an unknown digit mass of a 45-year-old female patient. They go on to discuss the presentation and treatment of common tumor lesions of the finger likely to be encountered in the dermatologist's clinic including: ganglion cyst/mucous cyst, giant-cell tumor, verruca vulgaris, epidermal inclusion cyst, poroma, porocarcinoma, squamous cell carcinoma, basal cell carcinoma, melanoma, infantile digital fibromatosis, acquired digital fibrokeratoma, Koenen's tumor, schwannoma, cutaneous neurofibroma, pyogenic granuloma, hemangioma, glomus tumor, epithelioid sarcoma, and metastatic disease.
