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[Methicillin resistant Staphyloccus aureus infection: a case report and literature review].
Wang, Yan; Xie, Zhi-Hong; Hu, Yun-Jian; Fang, Bao-Min; Sun, Tie-Ying.
Afiliación
  • Wang Y; Department of Respiratory Medicine of Beijing Hospital, Beijing 100730, China.
Zhonghua Jie He He Hu Xi Za Zhi ; 32(9): 655-9, 2009 Sep.
Article en Zh | MEDLINE | ID: mdl-20079277
OBJECTIVE: To report a case of infection with methicillin resistant Staphyloccus aureus (MRSA) carrying Staphylococcal chromosome cassette mec (SCCmec) type V, and to identify the origin of the isolates. METHODS: A case of infection with MRSA carrying SCCmec type V was reported. The clinical characteristics of this patient were described. Screening for methicillin and other antibiotic resistant phenotypes by VITEK II compact was carried out. PCR was used to determine the MRSA mecA gene, and multiplex PCR assay was used for characterization of SCCmec. RESULTS: The 73-year old male patient was admitted to our hospital for exfoliative dermatitis, but the condition got worse with sepsis and hospital acquired pneumonia, and finally the patient died of septic shock. The isolated Staphyloccus aureus from peripheral blood and sputum showed resistance to beta-lactams alone, and susceptible to clindamycin, intermediate to moxifloxacin and gentamicin. The isolates were confirmed to be MRSA carrying SCCmec type V. CONCLUSION: A case of healthcare-acquired MRSA infection was identified, but the isolates also showed some characteristics of MRSA of the community origin.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Estafilocócicas / Staphylococcus aureus Resistente a Meticilina / Antibacterianos Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2009 Tipo del documento: Article País de afiliación: China Pais de publicación: China
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Estafilocócicas / Staphylococcus aureus Resistente a Meticilina / Antibacterianos Tipo de estudio: Prognostic_studies Límite: Aged / Humans / Male Idioma: Zh Revista: Zhonghua Jie He He Hu Xi Za Zhi Año: 2009 Tipo del documento: Article País de afiliación: China Pais de publicación: China