Case Report
 
Community acquired methicillin sensitive Staphylococcus aureus bacteremia, meningitis and brain abscess: A unique presentation
Carlos Gonzalez1, Juan Roa2, Nehad Shabarek3
1PGY-1 Internal Medicine, Lincoln Medical and Mental Health Center of Weill Medical College at Cornell University, New York, USA.
2PGY-2 Internal Medicine, Lincoln Medical and Mental Health Center of Weill Medical College at Cornell University, New York, USA.
3Attending physian, associatted program director, Department of Internal Medicine, Lincoln Medical and Mental Health Center of Weill Medical College at Cornell University, New York, USA.

doi:10.5348/ijcri-2013-01-251-CR-5

Address correspondence to:
Carlos Gonzalez
MD Department of Internal Medicine, Lincoln Medical and Mental Health Center
234 E. 149th, St #8-32
Bronx, NY 10451
USA
Phone: 7185794739
Fax: 7185794836
Email: carlosgonzalez0521@yahoo.com; carlos.gonzalez.lengua@nychhc.org

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How to cite this article:
Gonzalez C, Roa J, Shabarek N. Community acquired methicillin sensitive Staphylococcus aureus bacteremia, meningitis and brain abscess: A unique presentation. International Journal of Case Reports and Images 2013;4(1):19–23.


Abstract
Introduction: Staphylococcus aureus causing isolate central nervous system (CNS) infection is rare. It is mostly related to either neurosurgical intervention or previous local or systemic infection rather than spontaneous isolated infection in adults.
Case Report: We report a case of a previously healthy 19-year-old male with no risk factors of Staphylococcus aureus infection, who was found to have methicillin sensitive Staphylococcus aureus (MSSA) bacteremia, meningitis and cerebral abscess, without an apparent source of infection.
Conclusion: Our case is a unique presentation of a young male presenting with isolated CNS infection by MSSA. This case highlights the challenge of early diagnosis of brain abscess, an entity that presents very often with non-specific signs, the diagnosis of which can be easily missed, with repercussions on long-term disability and mortality.

Keywords: Staphylococcus aureus, Bacteremia, Meningitis, Brain abscess


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Author Contributions
Carlos Gonzalez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Juan Roa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nehad Shabarek – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Carlos Gonzalez et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)