Horses have hooves TOO: a case of MRSA pneumonia
Abstract
SESSION TITLE: Medical Student/Resident Chest Infections Posters SESSION TYPE: Med Student/Res Case Rep Postr PRESENTED ON: October 18-21, 2020 INTRODUCTION: S Aureus is a cause of community acquired pneumonia in the winter months It is associated with severe disease and is more severe when occurring with influenza infection We report a case of MRSA pneumonia secondary to influenza infection, with an interesting journey to the patient's ultimate diagnosis CASE PRESENTATION: A 34-year-old woman, working as a nursing assistant in a nursing facility with no chronic medical conditions presented with thick purulent blood tinged sputum, subjective fevers, night sweats and chest pain She immigrated to the US in 2009 from southeast Asia and had a positive PPD in the past for which she did not undergo treatment Of note she did have a viral upper respiratory infection 2 weeks prior to presentation treated with a course of Levofloxacin She was found to have a positive influenza swab at that time as well A CT chest with contrast obtained during this admission revealed a large thick-walled cavitations bilaterally, involving the apical segment of the right upper lung and the apical posterior segment of the left upper lobe The differential at this time remained broad, given her numerous risk factors for tuberculosis and COVID-19 The patient underwent AFB testing which was negative and COVID-19 testing which was negative Three days after admission, her blood cultures grew MRSA The patient…
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