Community acquired methicillin sensitive Staphylococcus aureus bacteremia, meningitis and brain abscess: A unique presentation

Introduction: Staphylococcus aureus causing isolate central nervous system (CNS) infection is rare. It is mostly related to either neurosurgical intervention or previous local or systemic infection rather than spontaneous isolated infection in adults. Case Report: We report a case of a previously healthy 19­year­old male with no risk factors of Staphylococcus aureus infection, who was found to have methicillin sensitive Staphylococcus aureus (MSSA) bacteremia, meningitis and cerebral abscess, without an apparent source of infection. Conclusion: Our case is a unique presentation of a young male presenting with isolated CNS infection by MSSA. This case highlights the challenge of early diagnosis of brain abscess, an entity that presents very often with non­specific signs, the diagnosis of which can be easily missed, with repercussions on long­term disability and mortality.