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Case Reports
. 2014 Dec 1:7:862.
doi: 10.1186/1756-0500-7-862.

Community acquired Panton-Valentine Leukocidin (PVL) positive Methicilin Resistant Staphylococcal aureus cerebral abscess in an 11-month old boy: a case study

Wilbroad Mutale  1 , Keya M Sahay, John Hartley, Dominic Thompson, Didi Ratnasinghe, Lee Hudson, Eleanor Hulse, Greg Fellows
Affiliations
Case Reports

Community acquired Panton-Valentine Leukocidin (PVL) positive Methicilin Resistant Staphylococcal aureus cerebral abscess in an 11-month old boy: a case study

Wilbroad Mutale et al. BMC Res Notes. .

Abstract

Background: Brain abscess are uncommon childhood infection. Brain abscess caused by Panton-Valentine Leukocidin positive Community acquired Methicillin Resistant Staphylococcal aureus have never been reported in the United Kingdom.

Case presentation: We report a case of a previously well 11-month old boy of Indian origin who developed a parietal lobe abscess from PVL positive CA-MRSA.

Conclusion: This case is one of the few described cases of brain abscess caused by PVL CA-MRSA in children. The unusual (insidious) presentation, the absence of a clear staphylococcal focus and the unexpected finding of a CA-MRSA in this patient highlight the challenges of managing such cases in clinical settings and the potential future risk to public health.

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Figures

Figure 1
Figure 1
Pre-operative contrast enhanced CT scan.
Figure 2
Figure 2
Initial post-op magnetic resonance imaging.
Figure 3
Figure 3
Magnetic resonance imaging 1 week after admission.
Figure 4
Figure 4
Magnetic resonance 2 weeks after admission & 1 week post 2nd operation.
Figure 5
Figure 5
Magnetic Resonance Imaging 6 weeks after admission.
Figure 6
Figure 6
Magnetic Resonance Imaging 12 weeks after admission.
See this image and copyright information in PMC

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