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First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil BJID
Fortes,Claudio Querido; Espanha,Claudia Adelino; Bustorff,Flavio Pedreira; Zappa,Bruno Cordeiro; Ferreira,Adriana Lucia Pires; Moreira,Regina Barbosa; Pereira,Nelson Gonçalves; Fowler Jr.,Vance G.; Deshmukh,Hitesh.
We report here the first case of endocarditis due to CA-MRSA not associated with healthcare contact in Brazil in Brazil. A previously healthy patient presented with history of endocarditis following a traumatic wound infection. Patient had multiple positive blood cultures within 72 h of admission and met modified Duke's criterion for infective endocarditis. The isolate was typed as Staphylococcal cassette chromosome (SCC) mec type IV and was positive for presence of Panton-Valentine leukocidin (PVL). Increased incidence of CA-MRSA endocarditis is a challenge for the internist to choose the best empirical therapy. Several authors have suggested an empirical therapy with both a beta-lactam and an anti-MRSA agent for serious S. aureus infections. Our patient...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Infective endocarditis; CA-MRSA; Brazil; PVL.
Ano: 2008 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000600020
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