Abstract:
INTRODUCTION:Staphylococcus aureus frequently causes infections in outpatient and hospital settings and can present as a highly variable entity. Typical manifestations are endocarditis, osteoarticular infections or infection of implanted prostheses, intravascular devices or foreign bodies. A thorough diagnostic evaluation with early focus identification is mandatory to improve patient outcome. CASE REPORT:We report a case of a 68-year old patient with a history of double allogeneic stem cell transplant for acute myeloid leukemia who developed a S. aureus bacteremia with dissemination, severe sepsis and lethal outcome due to nasal handkerchief packing after nose bleeding. CONCLUSION:A thorough medical examination with further diagnostic work-up is most important in S. aureus blood stream infection to identify and eradicate the portal(s) of entry, to rule out endocarditis, to search for spinal abscesses, osteomyelitis or spondylodiscitis. Adherence to management guides for clinicians must be of major importance to achieve optimal quality of clinical care, and thus improve patient outcome.
journal_name
Infectionjournal_title
Infectionauthors
Koehler P,Jung N,Kochanek M,Lohneis P,Shimabukuro-Vornhagen A,Böll Bdoi
10.1007/s15010-018-1221-6subject
Has Abstractpub_date
2019-04-01 00:00:00pages
307-311issue
2eissn
0300-8126issn
1439-0973pii
10.1007/s15010-018-1221-6journal_volume
47pub_type
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