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Updated: Mar 24, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Successfully treated infective endocarditis caused by methicillin-resistant Staphylococcus Aureus in extremely low
Sehwa Jung1, Kyung Uk Jeong1, Jang Hoon Lee1
1Division of Neonatology, Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
Insights
Central venous catheters in preterm infants can lead to serious infections like endocarditis. Early echocardiogram surveillance in extremely low birth weight infants may help detect and treat these conditions effectively.
Area of Science:
- Neonatal Medicine
- Pediatric Cardiology
- Infectious Diseases
Background:
- Survival rates for preterm infants have improved significantly.
- Central venous catheters are crucial for neonatal intensive care but pose risks.
- These catheters increase the likelihood of intracardiac thrombosis and serve as a breeding ground for bacteria during septicemia.
Purpose of the Study:
- To report a case of methicillin-resistant Staphylococcus aureus endocarditis in an extremely low birth weight infant.
- To highlight the role of echocardiography in diagnosing catheter-related complications.
- To propose a surveillance strategy for early detection of endocarditis in high-risk neonates.
Main Methods:
- Case report of an extremely low birth weight infant with persistent bacteremia.
- Echocardiogram to identify intracardiac vegetation.
- Treatment with targeted antibiotic therapy.
Main Results:
- Persistent bacteremia due to methicillin-resistant Staphylococcus aureus was identified.
- Echocardiogram revealed vegetation consistent with endocarditis.
- Successful treatment with antibiotics resulted in patient recovery without major complications.
Conclusions:
- Endocarditis is a potential complication of central venous catheter use in extremely low birth weight infants.
- Surveillance echocardiography shortly after birth and during sepsis episodes is recommended.
- Early diagnosis and antibiotic treatment are critical for favorable outcomes in neonates.
Abstract:
Survival rates of preterm infants have improved in the past few decades, and central venous catheters play an important role in the intensive medical treatment of these neonates. Unfortunately, these indwelling catheters increase the risk of intracardiac thrombosis, and they provide a nidus for microorganisms during the course of septicemia. Herein, we report a case of persistent bacteremia due to methicillin-resistant Staphylococcus aureus in an extremely low birth weight (ELBW) infant, along with vegetation observed on an echocardiogram, the findings which are compatible with a diagnosis of endocarditis. The endocarditis was successfully treated with antibiotic therapy, and the patient recovered without major complications. We suggest a surveillance echocardiogram for ELBW infants within a few days of birth, with regular follow-up studies when clinical signs of sepsis are observed.
Related Concept Videos
Endocarditis I: Introduction
Staphylococcal Skin Infections
Clinical Significance of Antibiotic Resistance
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
Mechanism of Antibiotic Resistance in MRSA

