Community-acquired methicillin-resistant Staphylococcus aureus: a potential diagnosis for a 16-year-old athlete with knee pain

Abstract

Doctors of chiropractic must prepare themselves for the unexpected and remain open to diagnostic possibilities outside of the normal scope of practice. Knee pain or cellulitis of any type may require additional diagnostic and patient care protocols to make the correct diagnosis. With the incidence of community-acquired MRSA increasing at an alarming rate, it is certainly a diagnosis doctors of chiropractic should be aware of when treating patients, especially those involved in sports activities.

Cellulitis of the Knee in a 16-Month-Old Boy: A Case Report

“…It is clinically diagnosed based on the presentation of a nonpurulent erythemic rash with irregular margins, edema, and local tenderness. [1][2][3][4][5][6][7][8] The most common presentation for cellulitis of the lower extremities is a secondary condition due to trauma, which is most commonly seen in sports-related trauma or trauma involving foreign bodies. Other common presentations are seen among patients with a body mass index higher than 31, geriatric patients, and patients with a history of diabetes or immune compromise.…”

“…At present, only 1 case report exists which describes the www.journalchiromed.com presentation in an adolescent. 5 Therefore, the purpose of this case report is to describe the presentation of cellulitis in a 16-month-old boy to a chiropractic clinic.…”

Role of Nasal Staphylococcus aureus Carriage in Transmission among Contact Athletes

“…SA is highly contagious and a leading cause of disease outbreaks among athletes [3]. Factors associated with sports activity that are commonly implicated include compromised skin integrity [6], sharing items [8] and transmission by direct [3,4] or indirect contact [9]. Outbreaks of SA infection can also disrupt or potentially eliminate opportunities for athletes and teams to compete at the highest level [3].…”

“…Athletes involved in physical contact sports should shower immediately after training. Avoid 3,5,7,9,11,13,15,17,19,21,23,25,27,29,31,33,35) and subsequently from the skin (lanes 2,4,6,8,10,12,14,16,18,20,22,24,26,28,30,32,34,36) for 9 athletes. To determine POT types of each SA strain, multiplex PCR assays were performed with primer sets that were included in reaction mixtures 1 a and 2 b, and the results are expressed as a 3-component POT score.…”