Fatal septic thrombosis of the superior sagittal sinus after face-lift surgery caused by community-associated methicillin-resistant Staphylococcus aureus.

摘要

A recent report by Zoumalan and Rosenberg highlighted the importance of methicillin-resistant Staphylococcus aureus (MRSA) in postoperative wound infection after rhytidectomy. In their study, MRSA was isolated in 4 of 5 patients with surgical site infections after face-lift surgery. Two of the 4 patients required hospitalization for wound care and parenteral antibiotics to cure the infection, whereas the other 2 patients with MRSA wound infections were treated with local care and oral antibiotics as outpatients. Fortunately, prompt treatment with surgical drainage and antibiotic therapy guided by susceptibility testing resulted in excellent outcomes in all patients. It stands to reason, however, that delayed recognition or inappropriate treatment of these infections may not have led to such favorable results. Herein, we report an additional case of surgical site infection following rhytidectomy caused by an epidemic community-associated (CA) strain of MRSA that unfortunately had a delayed diagnosis andtragic outcome.