Abstract
We herein report the case of a 21-year-old woman with refractory adult-onset Still's disease who developed central venous catheter-related methicillin-resistant Staphylococcus aureus sepsis during aggressive immunosuppressive therapy. She subsequently experienced septic pulmonary embolism (SPE) and sacroiliitis during treatment with intravenous vancomycin and was successfully treated with long-term oral linezolid therapy. This case suggests that the occurrence of methicillin-resistant Staphylococcus aureus infection in immunosuppressive patients can trigger severe clinical manifestations such as SPE and septic sacroiliitis and that linezolid is suitable for treating such conditions.
MeSH terms
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Acetamides / administration & dosage*
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Anti-Infective Agents / administration & dosage
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Female
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Follow-Up Studies
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Humans
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Linezolid
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Magnetic Resonance Imaging
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Methicillin-Resistant Staphylococcus aureus / isolation & purification*
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Oxazolidinones / administration & dosage*
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Pulmonary Embolism / drug therapy
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Pulmonary Embolism / etiology*
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Pulmonary Embolism / microbiology
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RNA, Ribosomal, 23S
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Sacroiliitis / drug therapy
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Sacroiliitis / etiology*
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Sacroiliitis / microbiology
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Staphylococcal Infections / drug therapy
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Staphylococcal Infections / etiology*
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Staphylococcal Infections / microbiology
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Still's Disease, Adult-Onset / complications*
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Time Factors
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Tomography, X-Ray Computed
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Young Adult
Substances
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Acetamides
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Anti-Infective Agents
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Oxazolidinones
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RNA, Ribosomal, 23S
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Linezolid