Case 2-2011: a woman with shock after treatment of a furuncle.

摘要

The case of a young woman who died of fulminant sepsis caused by MRSA is very intriguing, since the patient was otherwise healthy and had recovered from an abscess caused by the same strain of S. aureus 1 month earlier. On admission, the patient presented with severe neutropenia, with neutrophils falling from 975 cells per cubic millimeter to 210 cells and then to 0. It might be argued that the administration of acetaminophen after the thoracic trauma either at home or in the urgent care unit could have induced the severe acute agranulocy-tosis that allowed the reactivation of the recent staphylococcal infection and influenced its fulminant course.