A case of pneumonia after esophagectomy due to methicilin-resistant Staphylococcus epidermidis

Accession number;03A0408548
Title;A case of pneumonia after esophagectomy due to methicilin-resistant Staphylococcus epidermidis
Author; MASAMUNE KATSUHIRO (Mutualaid Assoc. Public School Teach.,Shikoku Central Hospital, JPN) KONEGAWA RYUJI (Mutualaid Assoc. Public School Teach.,Shikoku Central Hospital, JPN) IMURA TOORU (Mutualaid Assoc. Public School Teach.,Shikoku Central Hospital, JPN) HANAKI TOKUICHI (Mutualaid Assoc. Public School Teach.,Shikoku Central Hospital, JPN) IUCHI MASAHIRO (Mutualaid Assoc. Public School Teach.,Shikoku Central Hospital, JPN) NISHI MASAHARU (Univ. of Tokushima, Sch. of Med.)
Journal Title;Shikoku Acta Medica
Journal Code:G0586A
ISSN:0037-3699
VOL.59;NO.1/2;PAGE.63-67(2003)
Figure&Table&Reference;FIG.3, REF.18
Pub. Country;Japan
Language;Japanese
Abstract;Methicilin-resistant Staphylococcus aureus (MRSA) is well known as the causative agent in severe infections, but we had recognized methicilin-resistant Staphylococcus epidermidis (MRSE) was not the pathogen. However, MRSE has become to be caused of serious infectious diseases to compromised hosts. A case of severe pneumonia after esophagectomy due to MRSE is reported. A 60 year-old man underwent an esophagectomy for esophageal cancer. During artificial ventilation, on the 6th postoperative day, high fever and leucocytosis were observed, and chest X-P showed severe pneumonia. A tracheotomy was performed and only MRSE was isolated from the sputum. Vancomycin and minocycline were used intravenously. The pneumonia improved gradually and the respirator removed on the 20th postoperative day. MRSE is considered less pathogenic than MRSA, but it is necessary that MRSE is rerecognizedne of the important causes of severe infection after major operations. (author abst.)