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Infect Chemother.  2010 Aug;42(4):249-252. 10.3947/ic.2010.42.4.249.

Fatal Peripheral Septic Thrombophlebitis Complicated with Infective Endocarditis due to Methicillin-resistant Staphylococcus aureus: A Case Report with Autopsy Findings

Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. macropha@korea.ac.kr
  • 2Department of Pathology, Korea University College of Medicine, Seoul, Korea.

Abstract

Persistent methicillin-resistant Staphylococcus aureus bacteremia (PMRSAB) has recently become a serious problem in patient care. However, it is an unusual complication of peripheral thrombophlebitis. An 80-year-old woman with head trauma suffered from suppurative thrombophlebitis on the insertion site of a peripheral venous catheter of her right wrist. She died of septic shock following fatal PMRSAB. Autopsy was requested to evaluate the extent of the infection, and disclosed septic thrombophlebitis with abscess formation in the right wrist and infective endocarditis on the leaflets of mitral valve.

Keyword

Methicillin-resistant Staphylococcus aureus; Thrombophlebitis; Bacteremia; Endocarditis

MeSH Terms

Abscess
Aged, 80 and over
Autopsy
Bacteremia
Catheters
Craniocerebral Trauma
Endocarditis
Female
Humans
Methicillin Resistance
Methicillin-Resistant Staphylococcus aureus
Mitral Valve
Patient Care
Shock, Septic
Staphylococcus
Thrombophlebitis
Wrist
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