DOS 2016

DOS Kongressen 2016 ·

189

Life threatening PVL-positive MRSA sepsis with

tibial osteomyelitis and septic arthritis of the knee

in a previously healthy 13-year-old boy: a case

report

Nina Hardgrib, Mikala Wang, Anne Grethe Jurik, Klaus Kjær Petersen

of Pediatrics, Aarhus University Hospital, Skejby; of Clinical Microbiology, Aarhus

University Hospital, Skejby; of Radiology, Aarhus University Hospital, NBG; of

Orthopedic Surgery, Aarhus University Hospital, NBG

Background:

The incidence and severity of PVL-positive MRSA infections are

increasing and can cause patient hospitalization with high mortality and morbid-

ity, and are difficult to treat.

Purpose / Aim of Study:

To share our patient case to increase awareness and

understanding of severe infections in interdisciplinary patients and improve the

course of treatment

Materials and Methods:

We describe the first case of PVL-positive MRSA

septicemia with bilateral pneumonia, arthritis of the knee and osteomyelitis of

the tibia in a child in Scandinavia.

Findings / Results:

We describe our interdisciplinary treatment efforts with

frequent surgical debridement, choices of antibiotics and radiological investiga-

tions and interpretations, which in our case resulted in a healthy patient without

complications, a favorable outcome unlike those earlier described in the litera-

ture.

Conclusions:

This case underlines the necessity of increased focus and close

interdisciplinary cooperation on children with septic arthritis and osteomyelitis,

especially in cases with initial treatment failure, and illustrates the paramount

importance of surgical debridement.

No conflicts of interest reported

140.