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Updated: Jul 26, 2026
12:18
Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
[A case of staphylococcal enterocolitis caused by methicillin resistant Staphylococcus aureus]
H Masuda1, T Yamada, H Nagamatsu
1Department of Urology, Kasukabe Municipal Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|December 1, 1992
Summary
A rare case of postoperative enterocolitis caused by methicillin-resistant Staphylococcus aureus (MRSA) was reported in an 81-year-old male. Prompt treatment with vancomycin led to significant patient improvement.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Infections
Background:
- Increasing incidence of methicillin-resistant Staphylococcus aureus (MRSA) infections.
- Postoperative complications following urological surgery.
- Enterocolitis as a potential severe outcome of bacterial infections.
Observation:
- An 81-year-old male developed severe symptoms including diarrhea, fever, and edema 24 days after suprapubic prostatectomy.
- Urine leakage was noted post-surgery, with broad-spectrum antibiotics administered.
- MRSA, producing toxic shock syndrome toxin-I (TSST-I) and coagulase type II, was identified in fecal samples.
Findings:
- The patient presented with clinical signs of enterocolitis and systemic inflammatory response.
- MRSA was confirmed as the causative agent of the postoperative enterocolitis.
- The isolated MRSA strain produced TSST-I, a key virulence factor.
Implications:
- Highlights the risk of MRSA enterocolitis in postoperative patients, even after urological procedures.
- Demonstrates the effectiveness of vancomycin in treating MRSA-induced enterocolitis and toxic shock syndrome.
- Emphasizes the importance of vigilant monitoring for resistant bacterial infections in immunocompromised or post-surgical patients.
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