Unforeseen Finding of Deep Vein Thrombosis During Treatment of Disseminated Staphylococcus Aureus Infection – A Case Report

We reported a case of disseminated Staphylococcus aureus infection involving bone and pneumonia in a 2-year-10-month-old boy. He presented with fever, refused to walk and swollen right thigh and was diagnosed with right thigh intramuscular deep abscess. Serial X-ray, MRI femur and blood culture confirmed osteomyelitis with Staphylococcus aureus bacteremia. The disease was complicated with Staphylococcus aureus pneumonia, long segment thrombosis involving right common femoral vein till external iliac vein and fracture right neck of femur. He received 6 weeks of intravenous cloxacillin along with daily subcutaneous fondaparinux. Multiple wound debridement had been performed and the fracture was managed using hip spica. Disseminated Staphylococcus aureus infection involves at least two distant organs with presence of Staphylococcus aureus from at least one normally sterile body fluids. Combined surgical intervention and antibiotics therapy are necessary to cure the disease. Complication like deep vein thrombosis must be detected early to improve outcome.