Please use this identifier to cite or link to this item: https://doi.org/10.1136/bcr-2020-236382
Title: Methicillin-resistant Staphylococcus aureus (MRSA) panniculitis in a patient undergoing stem cell mobilisation
Authors: Ng, APY
Chee, YL 
Wong, SJ 
Jen, WY 
Keywords: dermatology
haematology (incl blood transfusion)
pathology
Adult
Anti-Bacterial Agents
Biopsy
Doxycycline
Female
Hematopoietic Stem Cell Mobilization
Hodgkin Disease
Humans
Immunocompromised Host
Methicillin-Resistant Staphylococcus aureus
Panniculitis
Staphylococcal Infections
Issue Date: 9-Feb-2021
Publisher: BMJ
Citation: Ng, APY, Chee, YL, Wong, SJ, Jen, WY (2021-02-09). Methicillin-resistant Staphylococcus aureus (MRSA) panniculitis in a patient undergoing stem cell mobilisation. BMJ Case Reports 14 (2) : e236382-e236382. ScholarBank@NUS Repository. https://doi.org/10.1136/bcr-2020-236382
Abstract: Methicillin-resistant Staphylococcus aureus (MRSA) can cause a wide range of skin infections, however MRSA panniculitis without bacteremia is a rare manifestation. Here, we report a woman in her 20s with relapsed Hodgkin lymphoma undergoing stem cell mobilisation who presented with bilateral subcutaneous nodules over her shins. Ultrasound scan of one nodule showed non-specific inflammatory changes. Punch biopsy of a nodule showed lobular panniculitis with Gram-positive cocci. Blood cultures were negative but a culture from the biopsy grew MRSA. She was started on doxycycline with improvement in her symptoms. This case serves as a reminder to consider infections as a cause of panniculitis in immunocompromised patients.
Source Title: BMJ Case Reports
URI: https://scholarbank.nus.edu.sg/handle/10635/208939
ISSN: 1757790X
DOI: 10.1136/bcr-2020-236382
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