# Methicillin-Resistant Staphylococcus aureus Cellulitis Causing Meningitis From Hematogenous Dissemination: A Case Report

## TL;DR

A rare case of methicillin-resistant Staphylococcus aureus meningitis caused by bloodstream infection from a diabetic foot infection is reported and successfully treated.

## Contribution

This case report highlights a rare hematogenous route of methicillin-resistant Staphylococcus aureus causing meningitis.

## Key findings

- MRSA meningitis can result from hematogenous spread via bacteremia.
- A diabetic foot infection led to bloodstream infection and multiple complications including meningitis.
- Treatment with intravenous daptomycin and rifampin was successful.

## Abstract

Methicillin-resistant Staphylococcus aureus meningitis is commonly associated with surgical procedures that closely interact with the central nervous system; however, hematogenous spread via bacteremia is rarely reported. Here, we present a case of methicillin-resistant Staphylococcus aureus meningitis as a complication of a diabetic foot infection that disseminated into a bloodstream infection causing infective endocarditis, discitis, vertebral osteomyelitis, and meningitis that was successfully treated with intravenous daptomycin and rifampin.