Cervical abscess caused by methicillin-susceptible Staphylococcus aureus in an infant infected with SARS-CoV-2: Diagnostic dilemma

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dc.authoridGüner Özenen, Gizem/0000-0002-9725-7501
dc.authoridSahbudak Bal, Zumrut/0000-0001-9189-8220
dc.authorwosidGüner Özenen, Gizem/ABG-2316-2021
dc.contributor.authorArslan, Sema Yildirim
dc.contributor.authorBal, Zumrut Sahbudak
dc.contributor.authorOzenen, Gizem Guner
dc.contributor.authorBilen, Nimet Melis
dc.contributor.authorKurugol, Zafer
dc.contributor.authorOzkinay, Ferda
dc.date.accessioned2023-01-12T19:55:20Z
dc.date.available2023-01-12T19:55:20Z
dc.date.issued2021
dc.departmentN/A/Departmenten_US
dc.description.abstractA new inflammatory disease has emerged in children after the COVID-19 disease and has been named multisystem inflammatory syndrome in children (MIS-C). We report a case of cervical abscess in an infant with COVID-19 who was first considered to have MIS-C due to persistent fever, high inflammatory markers. A 10-month-old boy was admitted to the emergency department due to a 3-day fever and cervical lymphadenopathy. SARS-CoV-2 RNA was detected by a real-time reverse transcriptase-polymerase chain reaction in the nasopharyngeal swab specimen of the patient. Regarding initial clinical and laboratory findings, the patient was diagnosed to have MIS-C and bacterial co-infection. Clindamycin and ceftriaxone treatments were initiated for bacterial co-infection. Despite treatment, his fever persisted and acute phase reactants compatible with MIS-C were elevated and intravenous immunoglobulin (IVIG) was administered. After IVIG treatment, his fever persisted and the patient developed local inflammatory signs including erythema, tenderness, fluctuation developed. Cervical ultrasonography and magnetic resonance imaging demonstrated the findings compatible with the cervical abscess. Drainage of the cervical abscess was performed by an otolaryngologist. Methicillin-susceptible Staphylococcus aureus was isolated from the abscess culture. After abscess drainage, fever and acute phase reactants declined. His nasopharyngeal swab was negative for SARS-CoV-2 on the 7th day. He was discharged on the 21st day of hospitalization with full recovery. To the best of our knowledge, no cases of COVID-19 with cervical abscess caused by Staphylococcus aureus in children had been reported previously. Bacterial co-infection should be kept in mind in children infected with SARS-CoV-2 and showing MIS-C findings. (c) 2021 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.jiac.2021.03.017
dc.identifier.endpage1096en_US
dc.identifier.issn1341-321X
dc.identifier.issn1437-7780
dc.identifier.issue7en_US
dc.identifier.pmid33814352en_US
dc.identifier.startpage1092en_US
dc.identifier.urihttps://doi.org/10.1016/j.jiac.2021.03.017
dc.identifier.urihttps://hdl.handle.net/11454/76664
dc.identifier.volume27en_US
dc.identifier.wosWOS:000656910200028en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofJournal of Infection and Chemotherapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCervical abscessen_US
dc.subjectCOVID-19en_US
dc.subjectChildrenen_US
dc.subjectStaphylococcus aureusen_US
dc.subjectMultisystem inflammatory syndrome inen_US
dc.subjectchildren (MIS-C)en_US
dc.titleCervical abscess caused by methicillin-susceptible Staphylococcus aureus in an infant infected with SARS-CoV-2: Diagnostic dilemmaen_US
dc.typeArticleen_US

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