ISSN: 1859 - 2872
MRSA sepsis complicated by splenic abscess and nephrotic syndrome in a young diabetic patient: A case report
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Tóm tắt
Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a significant cause of invasive infections, but splenic abscess and nephrotic syndrome are rare complications, especially in young diabetics. Case Presentation: We describe a 27-year-old Vietnamese woman with type 1 diabetes who developed fever, scalp and thigh abscesses, edema, MRSA sepsis, nephrotic-range proteinuria (8.9 g/24h), hypoalbuminemia, pleural effusions, and a splenic abscess. CT also showed an incidental adrenal mass. Cultures from blood and abscesses grew MRSA. She improved with IV vancomycin, meropenem, amikacin, and supportive care (albumin, insulin, antihypertensives). Conclusion: This case demonstrates a rare and complex form of MRSA sepsis with nephrotic syndrome and splenic abscess, illustrating the need for prompt recognition and multidisciplinary treatment.
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Các tài liệu tham khảo
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