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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Infective endocarditis caused by methicillinresistant Staphylococcus aureus in a young woman after ear piercing: a case report. | Nah et al. Journal of Medical Case Reports 2011 5 336 http www.jmedicalcasereports.eom content 5 1 336 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing a case report So-Yun Nah Moon-Hyun Chung Jae Eun Park Areum Durey Mijeong Kim and Jin-Soo Lee Abstract Introduction Ear piercing is a common practice among Korean adolescents and young women and usually is performed by nonmedical personnel sometimes under suboptimal hygienic conditions. Consequently ear piercing has been associated with various infectious complications including fatal infective endocarditis. We report a case of infective endocarditis that was caused by community-associated methicillin-resistant Staphylococcus aureus after ear piercing and that was accompanied by a noticeable facial rash. Case presentation A 29-year-old Korean woman underwent ear piercing six days before hospitalization. On admission she had fever erythematous maculopapular rashes on her face signs of generalized emboli vegetation in her mitral valve and methicillin-resistant S. aureus bacteremia. On the basis of the blood culture results she was treated with vancomycin in combination with gentamicin. On day six of hospitalization a rupture of the papillary muscle of her mitral valve developed and emergency cardiac surgery replacing her mitral valve with a prosthetic valve was performed. After eight weeks of antibiotic therapy she was treated successfully and discharged without significant sequelae. Conclusions Numerable cases of body piercing-related infective endocarditis have been reported and since ear piercing is commonplace nowadays the importance of risk recognition cannot be overemphasized. In our report a patient developed infective endocarditis that was caused by methicillin-resistant S. aureus after ear piercing and that was accompanied by an interesting feature namely facial rash. Introduction Body .
