MRSA acute infection of the lip: a case report
A previously healthy 19-year-old man with no history of intravenous drug use, nor recent contact with any healthcare facilities, presented with high fever and severe swelling of his lip, which had appeared within a day (Figure 1A, B). Laboratory analysis revealed no signs of immunocompromised conditions including human immunodeficiency virus infection.

Contrast-enhanced computed tomography showed inflammation in the soft tissue with no extension to the sinuses. Pathologically, neutrophils had significantly infiltrated the dermis and gram-positive cocci were observed (Figure 2A, B).

Methicillin-resistant Staphylococcus aureus (MRSA) grew from both blood and pus cultures. Polymerase chain reaction analysis on blood and pus isolates identified the same Panton-Valentine leukocidin (PVL)-positive strain.

The patient was successfully treated with surgical drainage, two weeks of intravenous vancomycin, followed by a week of oral sulfamethoxazole-trimethoprim and rifampicin.

PVL is a pore-forming toxin produced by strains of S. aureus, which have been predominantly associated with skin and soft tissue infections but can also cause lethal necrotizing pneumonia. Skin infection with PVL-positive MRSA is rapidly progressive, causes abscesses, and can be recurrent with multiple lesions, necessitating treatment with appropriate

M●●●u P●●●●●●●●a and 2 other likes this
J●y M●●●t
J●y M●●●t General Medicine
What is the treatment?
Aug 9, 2018Like
I●●●●n Y●●●v
I●●●●n Y●●●v General Medicine
Since it' s MRSA so vancomycin may be the DOC
Aug 12, 2018Like