Presenting Patients Diagnosed with CA-MRSA
Patient | Patient’s History | Association with Prison |
---|---|---|
A | 10-year-old girl treated for ‘spider bite’ to left lower extremity. | Had visited her father in prison and her mother had been treated for ‘spider bite’ on her left elbow 2 weeks prior. |
B | 24-year-old man presented to clinic with complaint of single ‘spider bite’ lesion to left hip. | Girlfriend and girlfriend’s sister both treated for ‘spider bites,’ girlfriend’s other roommate recently released from prison. |
C | 43-year-old man with multiple pustules to legs, arms, and inguinal area. | Recently released from prison. While in prison, he was treated several times for similar infections. |
D | 25-year-old woman diagnosed with varicella zoster and then impetigo. Developed abscess with central eschar on right gluteus. | Boyfriend recently released from prison. |
E | 45-year-old woman, mother of case D. Treated for left gluteal abscess 1 week after her daughter, | See above. |
F | 41-year-old man with recurring skin infections thought to be impetigo. | Recently released from prison. Treated several times while in prison for similar lesions. |
G | 50-year-old man with multiple furuncles on his legs and arms. Failed treatment with ciprofloxacin for what was thought to be impetigo. | Recently released from prison. While in prison, he had a history of recurring ‘staph’ infections. |
H | 36-year-old woman with multiple furuncles to knee, posterior neck, and scalp. Abscess to left gluteus. | Visited her pregnant daughter in prison for several weeks before her outbreak. |
I | 16-year-old man with single boil to right axilla. Was treated for a ‘spider bite’ on his neck 1 year before. | Father released from prison and returned home 1 week prior. Father reported being treated twice for ‘spider bites’ while incarcerated. |
J | 42-year-old man with single ‘spider bite’ to his left groin. Had been treated for recurring skin infections several times since release from prison 8 years ago. Was treated for his first skin lesion while in prison. | Incarcerated 8 years prior. Sister and niece also treated for ‘spider bites’ during previous year. |