A Case of Acute Pyogenic Sacroiliitis and Bacteremia Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus.
- Author:
Suyoung KIM
1
;
Kang Lock LEE
;
Hae Lim BAEK
;
Seung Jun JANG
;
Song Mi MOON
;
Yong Kyun CHO
Author Information
- Publication Type:Case Report
- Keywords: Community-acquired infections; Methicillin-resistant Staphylococcus aureus; Pyogenic sacroiliitis
- MeSH: Abscess; Bacteremia*; Bacteria; Child; Community-Acquired Infections; Diagnosis; Humans; Korea; Leukocidins; Methicillin Resistance*; Methicillin-Resistant Staphylococcus aureus*; Multilocus Sequence Typing; Sacroiliitis*; Staphylococcus aureus; Young Adult
- From:Infection and Chemotherapy 2013;45(4):441-445
- CountryRepublic of Korea
- Language:English
- Abstract: Pyogenic sacroiliitis is a rare osteoarticular infection, occurring most frequently in children and young adults. Diagnosis of the disease is challenging because of a general lack of awareness of the disease and its nonspecific signs and symptoms. Staphylococcus aureus is the most common causative bacteria in pyogenic sacroiliitis. Methicillin-resistant S. aureus (MRSA) has typically been considered a hospital-associated pathogen; however, community-acquired (CA)-MRSA infections are becoming increasingly common in Korea. We report the first domestic case of acute pyogenic sacroiliitis with abscess and bacteremia caused by CA-MRSA. The pathogen carried the type IV-A staphylococcal cassette chromosome mec (SCCmec) without the Panton-Valentine leukocidin (PVL) gene, and was identified as sequence type (ST) 72 by multilocus sequence typing.
