A Rare Neonatal Infection: Methicillin-Resistant Staphylococcus aureus (MRSA) Orbital Cellulitis

Elizabeth Davis1, Coral Molina1, Adarsh Kancharla2

  • 1Family Medicine, Spartanburg Regional, Spartanburg, USA.

Cureus
|August 28, 2024
PubMed

Insights

Orbital cellulitis is a rare cause of late-onset neonatal sepsis. Early recognition of this condition and methicillin-resistant Staphylococcus aureus (MRSA) bacteremia is crucial for prompt infant treatment.

Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Ophthalmology

Background:

  • Orbital cellulitis is typically seen in pediatric patients.
  • Late-onset neonatal sepsis requires prompt diagnosis and treatment.
  • Community-acquired orbital cellulitis as a cause of neonatal sepsis is not well-documented.

Observation:

  • A 4-week-old infant presented with symptoms of late-onset neonatal sepsis.
  • The infant was diagnosed with orbital cellulitis.
  • Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia was subsequently identified.

Findings:

  • Orbital cellulitis can be a rare cause of late-onset neonatal sepsis.
  • MRSA bacteremia can arise secondary to orbital cellulitis in neonates.
  • This case highlights a unique presentation of neonatal sepsis.

Implications:

  • Early recognition of orbital cellulitis in neonates is vital.
  • Increased awareness of orbital cellulitis as a cause of neonatal sepsis is needed.
  • Prompt management can improve outcomes for infants with this condition.