Methicillin-resistant Staphylococcus Aureus Lip Infection Mimicking Angioedema
Abstract Background It is rare for angioedema to be misidentified by the experienced clinician or for it to mimic another disease process. As an Emergency Physician, it is important to recognize and treat angioedema immediately. Of equal importance is the recognition and initiation of treatment of f...
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| Veröffentlicht in: | The Journal of emergency medicine 2015-07, Vol.49 (1), p.8-11 |
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| container_title | The Journal of emergency medicine |
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| creator | Lucerna, Alan R., DO, FACOI Espinosa, James, MD Darlington, Anne M., MS, DO |
| description | Abstract Background It is rare for angioedema to be misidentified by the experienced clinician or for it to mimic another disease process. As an Emergency Physician, it is important to recognize and treat angioedema immediately. Of equal importance is the recognition and initiation of treatment of facial cellulitis. A case report follows that illustrates methicillin-resistant Staphylococcus aureus (MRSA) lip infection mimicking angioedema. Case Report Here, we describe a case of a 21-year-old man who presented with a swollen lower lip, initially diagnosed as angioedema. Further investigation revealed the cause of his lip swelling was actually a MRSA abscess and surrounding cellulitis, an unusual presentation for lip infection, which we discuss below. Why Should an Emergency Physician Be Aware of This? Misidentifying MRSA lip infection for angioedema, with a delay in proper treatment, could result in serious morbidity or mortality. |
| doi_str_mv | 10.1016/j.jemermed.2014.12.022 |
| format | Article |
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As an Emergency Physician, it is important to recognize and treat angioedema immediately. Of equal importance is the recognition and initiation of treatment of facial cellulitis. A case report follows that illustrates methicillin-resistant Staphylococcus aureus (MRSA) lip infection mimicking angioedema. Case Report Here, we describe a case of a 21-year-old man who presented with a swollen lower lip, initially diagnosed as angioedema. Further investigation revealed the cause of his lip swelling was actually a MRSA abscess and surrounding cellulitis, an unusual presentation for lip infection, which we discuss below. Why Should an Emergency Physician Be Aware of This? Misidentifying MRSA lip infection for angioedema, with a delay in proper treatment, could result in serious morbidity or mortality.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2014.12.022</identifier><identifier>PMID: 25659327</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abscess - microbiology ; angioedema ; Angioedema - diagnosis ; Cheilitis - microbiology ; Diagnosis, Differential ; Emergency ; facial cellulitis ; Humans ; lip abscess ; lip edema ; Male ; Methicillin-Resistant Staphylococcus aureus ; MRSA ; Staphylococcal Infections - complications ; Staphylococcal Infections - diagnosis ; Young Adult</subject><ispartof>The Journal of emergency medicine, 2015-07, Vol.49 (1), p.8-11</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. 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As an Emergency Physician, it is important to recognize and treat angioedema immediately. Of equal importance is the recognition and initiation of treatment of facial cellulitis. A case report follows that illustrates methicillin-resistant Staphylococcus aureus (MRSA) lip infection mimicking angioedema. Case Report Here, we describe a case of a 21-year-old man who presented with a swollen lower lip, initially diagnosed as angioedema. Further investigation revealed the cause of his lip swelling was actually a MRSA abscess and surrounding cellulitis, an unusual presentation for lip infection, which we discuss below. Why Should an Emergency Physician Be Aware of This? Misidentifying MRSA lip infection for angioedema, with a delay in proper treatment, could result in serious morbidity or mortality.</description><subject>Abscess - microbiology</subject><subject>angioedema</subject><subject>Angioedema - diagnosis</subject><subject>Cheilitis - microbiology</subject><subject>Diagnosis, Differential</subject><subject>Emergency</subject><subject>facial cellulitis</subject><subject>Humans</subject><subject>lip abscess</subject><subject>lip edema</subject><subject>Male</subject><subject>Methicillin-Resistant Staphylococcus aureus</subject><subject>MRSA</subject><subject>Staphylococcal Infections - complications</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Young Adult</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkT9v2zAQxYmiReKk-QqBxi5S-U-kuRQ1giYN4LRD2pmgyVNCRSJdUirgb18KjpcsnW649-7hfg-ha4Ibgon43Dc9jJBGcA3FhDeENpjSd2hFWUvrFlP1Hq2wZKLmQqpzdJFzjzGReE3O0DltRasYlSv04wGmZ2_9MPhQJ8g-TyZM1eNk9s-HIdpo7ZyrzZygjK3fV_ehAzv5GKoHP3r74sNTtQlPPoKD0XxEHzozZLh6nZfo9-23Xzff6-3Pu_ubzba2nLKp7mwJByPAOrxbS7W2cuekNABCSZAtdYowKmjH5BospnznBGXcCXCWEyXYJfp0vLtP8c8MedKjzxaGwQSIc9ZEKCy4khIXqThKbYo5J-j0PvnRpIMmWC8sda9PLPXCUhOqC8tivH7NmHfL7mQ7wSuCr0cBlE__ekg6Ww_BgvOpMNIu-v9nfHlzwpYivDXDCxwg93FOoXDUROdi0I9Lo0uhhGPCOOfsH52Onmc</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Lucerna, Alan R., DO, FACOI</creator><creator>Espinosa, James, MD</creator><creator>Darlington, Anne M., MS, DO</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150701</creationdate><title>Methicillin-resistant Staphylococcus Aureus Lip Infection Mimicking Angioedema</title><author>Lucerna, Alan R., DO, FACOI ; Espinosa, James, MD ; Darlington, Anne M., MS, DO</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-fc327ea6ecd0b8798c7bd77aee697e752d913262f378ec024bd6234d6edc41963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abscess - microbiology</topic><topic>angioedema</topic><topic>Angioedema - diagnosis</topic><topic>Cheilitis - microbiology</topic><topic>Diagnosis, Differential</topic><topic>Emergency</topic><topic>facial cellulitis</topic><topic>Humans</topic><topic>lip abscess</topic><topic>lip edema</topic><topic>Male</topic><topic>Methicillin-Resistant Staphylococcus aureus</topic><topic>MRSA</topic><topic>Staphylococcal Infections - complications</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lucerna, Alan R., DO, FACOI</creatorcontrib><creatorcontrib>Espinosa, James, MD</creatorcontrib><creatorcontrib>Darlington, Anne M., MS, DO</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lucerna, Alan R., DO, FACOI</au><au>Espinosa, James, MD</au><au>Darlington, Anne M., MS, DO</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Methicillin-resistant Staphylococcus Aureus Lip Infection Mimicking Angioedema</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>49</volume><issue>1</issue><spage>8</spage><epage>11</epage><pages>8-11</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Background It is rare for angioedema to be misidentified by the experienced clinician or for it to mimic another disease process. 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| fulltext | fulltext |
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| ispartof | The Journal of emergency medicine, 2015-07, Vol.49 (1), p.8-11 |
| issn | 0736-4679 2352-5029 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Abscess - microbiology angioedema Angioedema - diagnosis Cheilitis - microbiology Diagnosis, Differential Emergency facial cellulitis Humans lip abscess lip edema Male Methicillin-Resistant Staphylococcus aureus MRSA Staphylococcal Infections - complications Staphylococcal Infections - diagnosis Young Adult |
| title | Methicillin-resistant Staphylococcus Aureus Lip Infection Mimicking Angioedema |
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