1993 Volume 54 Issue 11 Pages 2771-2775
A 52-year-old woman was seen at the hospital because of epigastralgia and upper abdominal pain, and was diagnosed as acute pancreatitis. In the clinical course formation of pancreatic pseudocyst was found and endoscopic retrograde cholangiopancreatography (FRCP) was carried out on the 18th hospital day. After FRCP, drainage operation was done for worse of symptoms. MRSA was isolated from the pancreatic pseudocyst, wound and nasal cavity. On 62 postoperative day, cholecystectomy, choledochotomy, drainage and cystojejunostomy was done. MRSA was isolated from ascites during and after the operation, stool, wound, pancreatic juice and bile after the operation.
ERCP is frequently carried out for diagnosis of hepatic, biliary tract and pancreatic diseases, but, at that time, MRSA easily passes through the barrier of the stomach and may infect the small intestine, biliary tract and pancreatic duct. Therefore, screening of MRSA carrier of the nasopharynx is important for prevention of MRSA infection.
