Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_04»
«MEDICAL WRITING: CASE ABSTRACT_04»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Endocarditis caused by
methicillin-susceptible Staphylococcus aureus with reduced susceptibility to
vancomycin: a case report
Staphylococcus aureus is the most common cause of acute infective endocarditis.
Recent reports have described
heteroresistance to vancomycin associated with methicillin-resistant Staphylococcus
aureus. We present the first case report in Argentina of the failure of
treatment with vancomycin in endocarditis caused by
methicillin-susceptible Staphylococcus aureus containing
subpopulations with reduced susceptibility to vancomycin.
We report the case of a
66-year-old Hispanic man with infective endocarditis complicated by septic
emboli in the lumbosacral spine and the left iliopsoas muscle. This disease was
caused by methicillin-susceptible Staphylococcus aureus containing
subpopulations with reduced susceptibility to vancomycin. He was initially
treated with cephalothin and gentamicin but developed a rash caused by
beta-lactams and interstitial nephritis. For that reason, the treatment was
subsequently switched to vancomycin but he failed to respond. The infection
resolved after administration of vancomycin in combination with gentamicin and
Our case report provides important
evidence for the existence of subpopulations of methicillin-susceptible Staphylococcus
aureus that have reduced susceptibility to vancomycin which would
account for treatment failure. Our case raises an alert about the existence of
these strains and highlights the need to determine the vancomycin minimum
inhibitory concentration of Staphylococcus aureus to screen
for the presence of strains that have reduced vancomycin susceptibility at
different infection sites.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?