Question

A 10-year-old boy, known to has a nephritic syndrome. Presented with a history of right thigh pain with inability to bear weight for a one-month duration, with a one-week history of fever. Initial workup showed WBC 7.4 x109/L with 72% Neutrophils, ESR of 74 mm/h and serum C-reactive protein 182 mg/dl and Blood culture grew MRSA with full sensitivity, MRI demonstrated right hip septic arthritis with effusion and right femur osteomyelitis. Patient treated with intravenous vancomycin then soon shifted to oral clindamycin with smooth clinical improvement.

1)What factors would you consider in administering drugs to this patient?

2)What other diseases is MRSA capable of causing?

3)What complications would you anticipate in this patient due not weight bearing?

4)What role does the patient’s age play? Would you treat an adult differently?

Answer 1

Question 1

As, the patient blood culture was showing MRSA with full sensitivity (methicillin resistant Staphyloccus aureus) and have high fever are the factors that would I consider in adminstering drug to this patient.

Question 2

The other diseases this bacteria could cause are pneumonia and blood infection, endocarditis.

Question 3

As the patient is not able to bear weight, it means that patient bone or catilage is very weak and this increases the risk of this bacteria to make infection in the patient body.

Question 4

The patient age play an important factor. The small childeren are not able to tell the complete problem they are facing and this could lead to the improper diagnosis of the disease. Also, the symptoms present in childeren and adults are different. Therefore, medication could be different for different age groups.