Postoperative Infection Caused by Methicillin-Resistant Coagulase- Negative Staphylococci in the Oral and Maxillofacial Region: A Case Report

Abstract

Osteomyelitis of the jaw infected with Coagulase-Negative Staphylococci (CNS) is rarely reported in the Oral and Maxillofacial Region. Staphylococcus is a part of the normal body flora, but it may be cause severe infections and CNS are often described as the important pathogens in nosocomial infections. Although many studies on prevalence and antibiotics of Staphylococcus aureus have been done, but many of these studies focus only on Methicillin-resistant S. aureus and not on methicillin-resistant coagulase-negative Staphylococci (MRCNS). There was a less study about CNS or MRCNS infections in the Oral and Maxillofacial Region. This report describes a case of a 41-year-old male patient who developed osteomyelitis caused by MRCNS on condyle after open reduction and internal fixation and suggests guideline for the prevention of postoperative infection and appropriate recommendation for treatment and control.

A Literature Review of Infection with ESKAPE Pathogens in Oral and Maxillofacial Region

“…These MRSA strains are resistant to many antibiotics such as β-lactam antibiotic, aminoglycosides, macrolides, and choloramphenicol [27]. In most cases, glycopeptide antibiotics, such as vancomycin and teicoplanin, are used as first-line of antibiotics for of MRSA infections [11,28,29].…”