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Vulvar Abscess Caused by Methicillin-resistant Staphylococcus Aureus (MRSA) in a Postmenopausal Woman

View Article: PubMed Central - PubMed

ABSTRACT

Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to lifethreatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Employing a multidisciplinary team approach to care for vulvar cellulitis and abscess can guide treatment from antibiotic therapies to more aggressive surgical debridement. In this report, we describe a case of vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) in a postmenopausal woman with underlying diseases of bronchiectasis and atelectasis.

No MeSH data available.


Related in: MedlinePlus

This postmenopausal woman has a vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) involving the right labium major. Note the increased size, a background of erythema about the right labium major when compared with the left labium.
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Figure 1: This postmenopausal woman has a vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) involving the right labium major. Note the increased size, a background of erythema about the right labium major when compared with the left labium.

Mentions: A 56-year-old Chinese woman, in 6-year postmenopausal state, visited to the outpatient of gynecology department with the chief complaint about a painful lump on the right side of the labium major. On examination, there were high fever with a body temperature of 38.9℃, pulse rate 120/minute and blood pressure 120/80 mmHg. Pelvic examination revealed an enlarged, firm, tender, swollen and inflamed of labium major on the right side (Fig. 1). Her laboratory work-up revealed low hemoglobin of 10.5 g/dL, elevated white blood cell count of 17,140 with increased erythrocyte sedimentation rate (ESR) 70. Her serum of hepatitis B, human immunodeficiency virus (HIV) and rapid plasma reagin (RPR) research laboratory tests were negative and postmenopausal state was confirmed by hormone test (estradiol [E2] < 10 and follicle stimulating hormone [FSH] = 67.1). Her urine and blood culture were sterile.


Vulvar Abscess Caused by Methicillin-resistant Staphylococcus Aureus (MRSA) in a Postmenopausal Woman
This postmenopausal woman has a vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) involving the right labium major. Note the increased size, a background of erythema about the right labium major when compared with the left labium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5016500&req=5

Figure 1: This postmenopausal woman has a vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) involving the right labium major. Note the increased size, a background of erythema about the right labium major when compared with the left labium.
Mentions: A 56-year-old Chinese woman, in 6-year postmenopausal state, visited to the outpatient of gynecology department with the chief complaint about a painful lump on the right side of the labium major. On examination, there were high fever with a body temperature of 38.9℃, pulse rate 120/minute and blood pressure 120/80 mmHg. Pelvic examination revealed an enlarged, firm, tender, swollen and inflamed of labium major on the right side (Fig. 1). Her laboratory work-up revealed low hemoglobin of 10.5 g/dL, elevated white blood cell count of 17,140 with increased erythrocyte sedimentation rate (ESR) 70. Her serum of hepatitis B, human immunodeficiency virus (HIV) and rapid plasma reagin (RPR) research laboratory tests were negative and postmenopausal state was confirmed by hormone test (estradiol [E2] < 10 and follicle stimulating hormone [FSH] = 67.1). Her urine and blood culture were sterile.

View Article: PubMed Central - PubMed

ABSTRACT

Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to lifethreatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Employing a multidisciplinary team approach to care for vulvar cellulitis and abscess can guide treatment from antibiotic therapies to more aggressive surgical debridement. In this report, we describe a case of vulvar abscess caused by Methicillin-resistant staphylococcus aureus (MRSA) in a postmenopausal woman with underlying diseases of bronchiectasis and atelectasis.

No MeSH data available.


Related in: MedlinePlus