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Title: Stroke in Henoch-Schönlein purpura associated with methicillin-resistant staphylococcus aureus septicemia: Report of a case and review of the literature
Authors: Kanya Temkiatvises
Yongchai Nilanont
Niphon Poungvarin
Mahidol University
Keywords: Medicine
Issue Date: 1-Aug-2008
Citation: Journal of the Medical Association of Thailand. Vol.91, No.8 (2008), 1296-1301
Abstract: Neurological involvement in Henoch-Schönlein purpura (HSP) such as stroke is uncommon manifestiation, particularly in association with Staphylococcus aureus (S. aureus). The authors reported a 17-year-old man who developed sudden onset of right hemiparesis while he was admitted in the hospital about his prolonged fever, palpable purpura and upper gastrointestinal bleeding. He also had evidence of MRSA septicemia before the onset of right hemiparesis. Skin biopsy was done and showed that there was leukocytoclastic vasculitis with IgA deposition. He had received completed course of antibiotics and then he was subsequently improved after steroid therapy in the next 2 weeks. Review of case reports from previous English literatures, discovered the association between MRSA infection and HSP which can cause several CNS manifestations including stroke symptoms from cerebral vasculitis.
ISSN: 01252208
Appears in Collections:Scopus 2006-2010

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