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  • Title: Methicillin-resistant Staphylococcus aureus bacteraemia and epidural abscess in a neonate.
    Author: Stewart P, Khatami A, Loughran-Fowlds A, Isaacs D.
    Journal: J Paediatr Child Health; 2015 Apr; 51(4):458-60. PubMed ID: 25266956.
    Abstract:
    A 24-day-old boy presented with fever, irritability and poor feeding. Blood culture grew methicillin-resistant Staphylococcus aureus. Cerebrospinal fluid analysis showed pleocytosis, and methicillin-resistant Staphylococcus aureus grew from enrichment broth. Magnetic resonance imaging revealed an epidural abscess extending from C2-3 to T8-9. Staphylococcal infections of the central nervous system are uncommon in neonates. This case demonstrates the importance of performing a lumbar puncture in isolated staphylococcal bacteraemia. The case also highlights that cerebrospinal fluid pleocytosis may indicate a parameningeal focus of infection.
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