Community-acquired pneumonia and bacteremia due to methicillin-resistant Staphylococcus aureus carrying Panton-Valentine-leukocidin gene in Greece: two case reports and literature review
Autor: | D. Perimeni, S Vourli, P. Tselioti, C. Diacaki, E. Balis, Alkiviadis Vatopoulos, Athanassios Prekates, Helen Giamarellou |
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Rok vydání: | 2008 |
Předmět: |
Adult
Male medicine.medical_specialty ARDS Staphylococcus aureus Adolescent Bacteremia medicine.disease_cause Community-acquired pneumonia Leukocidins Internal medicine Pneumonia Staphylococcal Medicine Humans Pharmacology (medical) Intensive care medicine Pharmacology Respiratory Distress Syndrome Greece business.industry Septic shock Respiratory disease biochemical phenomena metabolism and nutrition bacterial infections and mycoses medicine.disease Methicillin-resistant Staphylococcus aureus Community-Acquired Infections Pneumonia Infectious Diseases Oncology Female Methicillin Resistance Panton–Valentine leukocidin business Tomography X-Ray Computed |
Zdroj: | Journal of chemotherapy (Florence, Italy). 19(6) |
ISSN: | 1120-009X |
Popis: | We report the first two cases of community-acquired necrotizing pneumonia and bacteremia complicated by acute respiratory distress syndrome (ARDS) due to Panton-Valantine leukocidin-producing methicillin-resistant Staphylococcus aureus (MRSA-PVL) in Greece, together with a short literature review. Diagnosis was made by culture and broad spectrum PCR of respiratory secretions and blood. One patient received appropriate therapy and recovered fully. The other one died rapidly due to septic shock and life-threatening hemoptysis. Clinicians should be suspicious of community-acquired pneumonia due to MRSA-PVL strain, because rigorous microbiological diagnosis, early and appropriate therapy is essential for favorable outcome. |
Databáze: | OpenAIRE |
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