The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
BREAST ABSCESS CAUSED BY METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA)-A CASE REPORT-
Kazuo HOSHINOMasaya NAKAMURATakayuki KANOMasao SUZUKIYasuo MORISHITA
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Keywords: MRSA
JOURNAL FREE ACCESS

1993 Volume 54 Issue 6 Pages 1502-1505

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Abstract
Methicillin-resistant staphylococcus aureus (MRSA) causing infections lack in effective medicines, are refractory, and easily provide severe condition. Its prophylaxis and early diagnosis are very important.
A 24-year-old postpartal female who had a cesarean section delivery with preventive antibiotics therapy, progressed a right breast abscess in spite of antibiotics therapy (amoxicillin/cva) one month after the delivery. Clinical course and ultrasound examination revealed antibiotics-resistant breast abscess. Non smelled greyish-white pus was obtained by puncture and the culture grew a methicillin-resistant staphylococcus aureus, sensitive to minocycline and arbekacin. After immediate hospitalization, she was treated with intravenous arbekacin and oral minocycline in addition to irrigation and drainage of the abscess. She was discharged from the hospital 14 days after admission. MRSA-pneumonia, MRSA-enteritis, and MRSA-caused surgical wound infection are well-known, but MRSA-mastitis is rare. However, it can be inferred that MRSA-mastitis should be increasingly seen with recent expansion of MRSA. Here this case as well as a review of the literature is presented.
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© Japan Surgical Association
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