Staphylococcus aureus is a commensal organism that resides in skin and mucosa. Mild to life-threatening sepsis can occur if the organism enters into the body especially in an immunocompromised or immunosuppressed individual. Routes of entry include broken skin or mucosa, and oral ingestion of infected food (¹). Pneumothorax is the presence of air in the pleural space causing compression of the lungs, leading to subsequent respiratory distress.
We present the case of a 32-year-old man with a history of intravenous cocaine and heroine use who presented to our hospital with a one-week-old widespread malaise that included unquantified fever and chills, chest pain, and shortness of breath. Upon evaluation, the patient had leukocytosis (14.5 10⁹/L), a C-reactive protein of 119 mg/L, a procalcitonin level was 34 ng/mL, multiple electrolyte disturbances, and imaging studies consistent with multifocal pulmonary infiltrates (figure 1), which became complicated with bilateral pneumothorax in a matter of days (figure 2), necessitating the insertion of a chest tube on the left and right Staphylococcus aureus was found in subsequent blood cultures. Meropenem, moxifloxacin, and teicoplanin were among the antibiotics used. After treatment, the right and left lungs re-expanded, and acute phase reactants reduced.
Substance abuse is a major public health issue that leads to death and morbidity around the world and in our own country. The provision of effective education to children and young people is the first step toward a successful fight against addiction.
Anahtar Kelimeler: Substance abuse, Education, Pneumothorax
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