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Updated: Jun 1, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Metastatic methicillin-sensitive Staphylococcus aureus infection
1Johns Hopkins University/Sinai Hospital Program in Internal Medicine, Baltimore, MD, USA.
Abstract:
Staphylococcus aureus bacteremia (SAB) is a common and increasingly recognized hospital- and community-acquired infection. To minimize morbidity and mortality, it is essential to determine which patients are at high risk for metastatic SAB. The risk-scoring system described by Fowler et al and the APACHE II scoring system can be helpful in identifying the clinical predictors of metastatic SAB. Herein we describe a case of metastatic methicillin-sensitive SAB in a previously healthy 19-year-old woman that was complicated by a disseminated pneumonia, an ischemic toe, and an acute intracranial hemorrhage. We also discuss the clinical factors associated with increased risk for complications from SAB and the currently available treatment options.
Insights
Staphylococcus aureus bacteremia (SAB) is a serious infection. Identifying high-risk patients is crucial for preventing severe complications like pneumonia and hemorrhage.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
Background:
- Staphylococcus aureus bacteremia (SAB) is a significant healthcare-associated and community-acquired infection.
- Early identification of patients at high risk for metastatic SAB is vital for reducing morbidity and mortality.
Observation:
- A case of metastatic methicillin-sensitive SAB in a young, previously healthy woman is presented.
- The patient developed disseminated pneumonia, an ischemic toe, and acute intracranial hemorrhage.
Findings:
- Risk-scoring systems like Fowler et al and APACHE II can aid in predicting metastatic SAB.
- Clinical factors contributing to SAB complications require careful consideration.
Implications:
- This case highlights the potential severity of SAB, even in young individuals.
- Understanding risk factors and treatment options is essential for managing SAB and its complications.
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