Rapidly Progressive Multiple Cavity Formation in Necrotizing Pneumonia Caused by Community-acquired Methicillin-resistant Staphylococcus aureus Positive for the Panton-Valentine Leucocidin Gene.
Intern Med
; 58(5): 685-691, 2019 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-30333405
ABSTRACT
A 66-year-old man was transferred to our hospital for pneumonia that was resistant to sulbactam/ampicillin and levofloxacin therapy. Chest computed tomography showed the rapidly progressive formation of multiple cavities. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated, and the patient was diagnosed with necrotizing pneumonia caused by community-acquired MRSA (CA-MRSA). The MRSA strain had type IV staphylococcus cassette chromosome mec and genes encoding Panton-Valentine leucocidin (PVL). CA-MRSA necrotizing pneumonia with the PVL gene is rare; only three cases have been previously reported in Japan. We administered anti-MRSA antibiotics and the patient achieved complete clinical and radiological improvement.
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Base de dados:
MEDLINE
Assunto principal:
Pneumonia Estafilocócica
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Toxinas Bacterianas
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Exotoxinas
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Staphylococcus aureus Resistente à Meticilina
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Pneumonia Necrosante
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Leucocidinas
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article