Caso contributivo
Una mastite neonatale bilaterale da Staphylococcus aureus meticillino-resistente
Neonatal bilateral mastitis by methicillin-resistant Staphylococcus aureus
Roberta Barbato1,2, Angela Troisi1, Loretta Biserna1, Simone Fontijn1, Alberto Ratta3, Federico Marchetti1
1UOC di Pediatria e Neonatologia, Ospedale di Ravenna, AUSL della Romagna
2Scuola di Specializzazione in Pediatria, Università di Bologna
3UOC di Chirurgia Pediatrica, Ospedale Infermi, Rimini, AUSL della Romagna
Febbraio 2023 | DOI: 10.53126/MEBXXVIF018
Abstract
Neonatal mastitis with possible abscess complication is relatively rare. The most common causal agent is Staphylococcus aureus. The paper describes the case of a newborn of 8 days of life, with fever and bilateral mastitis. The newborn was treated with antibiotic therapy with vancomicin and gentamicin and required the right breast surgical drainage for abscess complication. Culture of the pus yielded a pure growth of methicillin-resistant Staphylococcus aureus. The mother of the newborn presented with mastitis that developed a few days earlier. Complications of neonatal mastitis are rare nonetheless cellulitis, fasciitis, osteomyelitis, meningitis, brain abscess and sepsis have been reported. It is therefore essential to treat the mastitis of the newborn promptly and take into consideration the possible resistance of Staphylococcus that is the main etiological agent. Therefore, possible abscess complications need to be treated surgically.
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