Abstract

Meningitis caused by Staphylococcus aureus is an unusual illness that is often associated with bacteremia, contiguous infection and/or a post-neurosurgical state. Until recently, most cases were caused by methicillin-susceptible strains, but there are a few reports of methicillinresistant S aureus strains causing meningitis. A new case of meningitis caused by methicillin-resistant S aureus in a neonatal intensive care nurse who did not have bacteremia or neurosurgery is reported. The patient made a full recovery after treatment with vancomycin and rifampin.

Highlights

  • Meningitis caused by Staphylococcus aureus is an unusual illness that is often associated with bacteremia, contiguous infection and/or a post-neurosurgical state

  • We report a case of methicillin-resistant strains of S aureus (MRSA) meningitis in a previously healthy nurse who was not bacteremic at the time of presentation and had not undergone neurosurgery

  • It has been estimated to account for 2% to 10% of cases of bacterial meningitis in adults [1,2,3,4,5,6,7,8]

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Summary

CASE REPORT

A case of spontaneous methicillin-resistant Staphylococcus aureus meningitis in a health care worker. A new case of meningitis caused by methicillin-resistant S aureus in a neonatal intensive care nurse who did not have bacteremia or neurosurgery is reported. The patient stated that her headache began four days before presentation and that it had progressively increased in intensity This severe, generalized headache was associated with neck stiffness, fever and chills. The patient worked as a neonatal intensive care unit nurse (NICU) She claimed that she had not cared for any babies with known or suspected infection in the recent past and she was unaware of any infected babies in her unit in the recent past. The final CSF culture revealed MRSA, which was subsequently confirmed at the National

Spontaneous MRSA meningitis in a health care worker
DISCUSSION
No growth
Findings
Dylewski and Martel
Full Text
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