A case report of hepatic abscesses with soft tissue infection caused by methicillin resistant Staphylococcus aureus in a young child

Abstract

Rationale:Pyogenic hepatic abscess in children is a rare clinical condition. Hepatic abscesses caused by methicillin resistant Staphylococcus aureus are extremely rare.Patient concerns:A 6-year-old boy was referred to a tertiary children's hospital for a 6-day history of right lower abdominal pain and fever. Radiographic findings showed hepatic abscesses and soft tissue abscesses around the left femur.Diagnoses:Bacteriology of blood, hepatic abscesses, and soft tissue abscesses showed methicillin resistant Staphylococcus aureus.Interventions:Our patient received adequate drainage of MRSA abscesses and a complete course of antibiotics.Outcomes:The hepatic abscesses were healed and no recurrence has been founded until now.Lessons:This report describes an extremely rare case of hepatic abscesses with soft tissue infection caused by MRSA. Adequate drainage and appropriate systemic antibiotics should be considered as a standard treatment of MRSA abscesses in order to reduce the mortality rate and improve the quality of life.