{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:11:56Z","timestamp":1753891916220,"version":"3.41.2"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>The nutritional treatment of methicillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic> sepsis combined with pulmonary embolism presents considerable challenges due to the risks associated with tube placement, coagulation disorders, severe infections, digestive limitations, and fluid restrictions in pediatric patients. This report discusses the case of an approximately 13-year-old female patient admitted with symptoms of right lower limb pain, fever, and cough accompanied by shortness of breath. The patient was assessed to be at moderate risk of malnutrition. In the early stages of treatment, permissive low-calorie enteral nutrition was administered alongside clinical interventions such as anti-infection therapy, anticoagulation, and empyema drainage. In the later stages, supplementary parenteral nutrition therapy was introduced, with careful monitoring of fluids restrictions, infection control, and coagulation index improvements. The patient\u2019s condition improved significantly, and the wounds on the right chest and back healed well. A retrospective review of the literature over the past decade was conducted using domestic and international databases, alongside an analysis of current guidelines for nutritional support in critically ill children.<\/jats:p>","DOI":"10.3389\/fnut.2025.1484012","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T05:13:40Z","timestamp":1739942020000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional therapy for MRSA sepsis complicated with pulmonary embolism in children under limited energy and nutrient conditions: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Lin","family":"Kong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhongmin","family":"Gao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yao","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengjun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dandan","family":"Pi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1056\/NEJMp1707170","article-title":"Recognizing Sepsis as a Global Health priority - a WHO resolution","volume":"377","author":"Reinhart","year":"2017","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"508","DOI":"10.5546\/aap.2016.eng.508","article-title":"Community-acquired Staphylococcus aureus bacteremia in children: a cohort study for 2010-2014","volume":"114","author":"P\u00e9rez","year":"2016","journal-title":"Arch Argent Pediatr"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1378","DOI":"10.3390\/antibiotics12091378","article-title":"Retrospective study on Staphylococcus aureus resistance profile and antibiotic use in a pediatric population","volume":"12","author":"Buonsenso","year":"2023","journal-title":"Antibiotics"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.anpedi.2021.06.013","article-title":"Rate of methicillin-resistant Staphylococcus aureus in pediatric emergency departments in Spain","volume":"97","author":"Garriga","year":"2022","journal-title":"An Pediatr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1016\/j.chest.2021.09.019","article-title":"Acute Management of High-Risk and Intermediate-Risk Pulmonary Embolism in children: a review","volume":"161","author":"Ross","year":"2022","journal-title":"Chest"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"3089","DOI":"10.1002\/ppul.25609","article-title":"Pediatric pulmonary embolism: not as rare as we think","volume":"56","author":"Kaditis","year":"2021","journal-title":"Pediatr Pulmonol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1160\/TH16-07-0529","article-title":"Pulmonary embolism and in situ pulmonary artery thrombosis in paediatrics. 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