Korean J Gastroenterol.  2003 Sep;42(3):246-248.

A Case of Methicillin Resistant Staphylococcus Aureus Enterocolitis Presenting with Massive Diarrhea

• Lee HL
• Han DS
• Kim JP
• Kim JB
• Park JY
• Sohn JH
• Hahm JS

Abstract

Methicillin resistant Staphylococcal aureus (MRSA) enterocolitis is characterized by high fever, abdominal distension, and watery diarrhea that leads to severe dehydration, shock, a sharp decrease in the white cell counts and sometimes multiple organ failure. Clinically, it can be an another cause of nosocomial diarrhea. If MRSA enteritis is suspected from the clinical symptoms, prompt treatment and strict prophylactic measures including vancomycin, are most important for its management. We recently observed a case of MRSA enterocolitis as a nosocomial infection in a patient with acute pancreatitis. This patient showed uncontrolled massive diarrhea, fever, and multiple organ failure. We report a case of MRSA enterocolitis with a review of literatures.

Keyword

Methicillin resistance; Staphylococcus aureus; Enterocolitis; Massive diarrhea; Nosocomial infections

MeSH Terms

Cross Infection/diagnosis/*microbiology
Diarrhea/etiology/*microbiology
Enterocolitis/complications/diagnosis/*microbiology
Humans
Male
*Methicillin Resistance
Middle Aged
*Staphylococcal Infections/diagnosis