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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249

Abstract

DALL´ORSO, Patricia et al. Abscesos profundos por Staphylococcus aureus meticilino resistente adquirido en la comunidad: Reporte de cuatro casos clínicos. Arch. Pediatr. Urug. [online]. 2013, vol.84, n.2, pp.116-122. ISSN 1688-1249.

Summary  The community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) emerged in Uruguay in 2001, and since then it has established as an agent of many infectious diseases of childhood. Some more frequent clinic forms of presentation such as superficial infections do not habitually offer diagnostic difficulties. Others less frequent as the deep-seated abscesses are less known forms where the diagnosis is not easy and there is a risk of delayed treatment which contributes to increase morbidity and mortality caused by this agent. In this work, four clinic cases of CA-MRSA abscesses deep are communicated in patients hospitalized in the years 2009 to 2011 at the Pediatric Hospital-Pereira Rossell Hospital Center (HP-PRHC). As an unfrequent but usual presentation of this agent three cases of muscular abscesses are presented, two of them retroperitoneals and a case of hepatic abscesses. The difficulties for early diagnosis according to the nonspecific of clinical presentation, the fundamental support of imaginology in the diagnostic confirmation, the need for prolonged antimicrobial therapy and adequate drainage of the collected material which is important to identify the involved microbial agent are emphasized in these series.

Keywords : METHICILLIN-RESISTANT; STAPHYLOCOCCUS AURE; COMMUNITY-ACQUIRED INFECTIONS; ABSCESS.

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