Neonatal methicillin-resistant Staphylococcus aureus pneumonia–related recurrent fatal pyopneumothorax: A case report and review of literature

Table 1 Laboratory data of this child

	DOH 1	DOH 2	DOH 3	DOH 4	DOH 5	DOH 6	DOH 7	DOH 8	DOH 9	DOH 10	DOH 11	DOH 12
Leukocyte (109/L)	6.69	5.18	12.58	22.31	75.77	35.57	43.45	35.73	27.9	25.73	22.69	19.95
Erythrocyte (1012/L)	3.78	3.36	3.14	3.18	3.44	3.44	3.44	2.93	3.13	3.92	3.12	3.09
Hemoglobin (g/L)	134	119	113	111	125	122	122	102	109	133	106	103
Platelet (109/L)	290	197	199	187	269	105	149	166	88	169	115	95
Neutrophil (%)	63.2	75.6	75.6	74.9	80.6	80.0	NA	79.9	76.6	75.5	80.4	80.4
CRP (mg/L)	290.41	260.3	152.96	114.7	132.6	128.0	227.3	187.8	151.2	129.0	126.6	229.7
CK-MB (U/L)	-	-	-	171	150	-	47	-	-	-	-	-
LDH (U/L)	-	-	-	865	1885	-	1128	-	-	-	-	-
HBDH (U/L)	-	-	-	548	1006	-	684	-	-	-	-	-

CRP: C-reactive protein; CK-MB: Creatine kinase-MB; DOH: Day of hospitalization; HBDH: Hydroxybutyrate dehydrogenase; LDH: Lactate dehydrogenase; NA: Not available.

Table 2 Culture and antimicrobial susceptibility results of this child

	DOH 6	DOH 6	DOH 6	DOH 6	DOH 10	DOH 12
Specimen	Sputum	Sputum	Sputum	Pleural fluid	Pleural fluid	Pleural fluid
Pathogen	MRSA	MRSA	MRSA	MRSA	MRSA	MRSA
Chloromycetin	S	S	S	S	S	S
Erythromycin	R	R	R	R	R	R
Cefoxitin	R	R	R	R	R	R
Gentamicin	S	S	S	S	S	S
Oxacillin	S	R	R	R	S	S
Penicillin	R	R	R	R	R	R
Rifampin	S	S	S	S	S	S
Teicoplanin	S	S	S	S	S	S
Vancomycin	S	S	S	S	S	S
Clarithromycin	R	R	R	R	R	R
Clindamycin	R	R	R	R	R	R
Linezolid	S	S	S	S	S	S
Tigecycline	S	S	S	S	S	S
Amikacin	S	S	S	S	S	S
Azithromycin	R	R	R	R	R	R
Levofloxacin	S	S	S	S	S	S
Moxifloxacin	S	S	S	S	S	S

DOH: Day of hospitalization; MRSA: Methicillin-resistant Staphylococcus aureus; S: Sensitive; R: Resistant.