History
- 45 years old man
- Good past health
- Right abdominal wall abscess for one week
- Treated with oral ampicillin and cloxacillin
- No improvement with antibiotics
- Increasing pain, pustular discharge noted from abscess
- BP 135/69mmHg P65, temp 36°C
Progress
- Incision and drainage of abscess performed at A&E
- Continued on oral ampicillin and cloxacillin
- Culture revealed Staphylococcus aureus (methicillin resistant)
- Diagnosed to have community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) infection
- PCR positive for Panton-Valentine leucocidin (PVL)
- Admitted and given one week of intravenous vancomycin
- Subsequent history revealed recent body massage in China (? Source of CA-MRSA)