Community Acquired � Methicilin Resistant Staphylococcus aureus Neck Abscess with Bacteremia and Multiple Lung Abscesses

Community Acquired – Methicilin Resistant Staphylococcus aureus Neck Abscess with Bacteremia and Multiple Lung Abscesses

A 17-year-old boy with no history of respiratory problems was admitted in our department because of cervical abscess with severe sepsis. Chest radiograph and computed tomography scan showed multiple lung abscesses and ground-glass opacities. Cervical abscess was drained immediately, and cultures of the drainage material showed methicilin resistant Staphylococcus aureus. The evolution was favorable after 10 days of mechanical ventilation and intravenous antibiotherapy (vancomycin). Radiological controls showed an evident favorable evolution with residual pneumatoceles. After a psychiatric evaluation the patient had a borderline personality with poor health conditions explaining probably the origin of the infection.