MRSA infected emphysematous bullae in an asymptomatic COPD patient.


This is a case of a 57-year-old gentleman with a history of chronic obstructive pulmonary disease (COPD) who presented with diarrhoea of more than 4 weeks in length. On chest x-ray, he was incidentally found to have a large cavitating lesion in his right lung. He denied having any respiratory distress at any stage and clinically he had been completely asymptomatic. The CT-guided biopsy confirmed a methicillin-resistant Staphylococcus aureus positive lung cavitation, most likely secondary to his poor dentition. A full dental clearance was performed, and he was treated with a course of intravenous vancomycin and oral clindamycin with good effect.

DOI: 10.1136/bcr-2012-007803

Cite this paper

@article{Zaman2013MRSAIE, title={MRSA infected emphysematous bullae in an asymptomatic COPD patient.}, author={Shahriar Raj Zaman}, journal={BMJ case reports}, year={2013}, volume={2013} }