Community-associated methicillin-resistant Staphylococcus aureus infection in Portugal

被引:13
|
作者
Nazareth, R. [1 ]
Goncalves-Pereira, J. [1 ,4 ]
Tavares, A. [3 ]
Miragaia, M. [3 ]
de Lencastre, H. [3 ,5 ]
Silvestre, J. [1 ,4 ]
Freitas, P. [1 ]
Goncalves, E. [2 ]
Martins, F. [2 ]
Mendes, V. [1 ]
Tapadinhas, C. [1 ,4 ]
Povoa, P. [1 ,4 ]
机构
[1] CHLO, Hosp Sao Francisco Xavier, Unidade Polivalente Cuidados Intens, Lisbon, Portugal
[2] CHLO, Hosp Sao Francisco Xavier, Microbiol Lab, Lisbon, Portugal
[3] Univ Nova Lisboa, Inst Tecnol Quim & Biol, Mol Genet Lab, P-2780156 Oeiras, Portugal
[4] Univ Nova Lisboa, Fac Ciencias Med, CEDOC, P-1200 Lisbon, Portugal
[5] Rockefeller Univ, Microbiol Lab, New York, NY 10021 USA
关键词
Community-associated; MRSA; Staphylococcus aureus; Necrotizing pneumonia; Empyema; PANTON-VALENTINE LEUKOCIDIN; FIELD GEL-ELECTROPHORESIS; CASSETTE CHROMOSOME MEC; PCR STRATEGY; PNEUMONIA; MRSA; EPIDEMIOLOGY; EMERGENCE; MULTIPLEX; ADULTS;
D O I
10.1016/j.rppneu.2011.05.007
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Methicillin-resistant Staphylococcus aureus (MRSA) has recently emerged as a cause of community-acquired infections among individuals without risk factors. Community-associated MRSA (CA-MRSA) appears to be more virulent, causing superficial mild skin and soft tissue infections to severe necrotizing fasciitis, and in rare cases, pneumonia. Community-associated MRSA was first reported in Australia in the early 80s, after almost two decades in the USA, and then in several countries in Europe, Asia and South America. No data exists in Portugal. We report the first case of CA-MRSA infection in Portugal, in a young adult with severe necrotizing pneumonia, complicated with bilateral empyema and respiratory failure. (C) 2011 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:34 / 38
页数:5
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