ST714-SCCmec type IV CA-MRSA isolated from a Child with Recurrent Skin and Soft Tissue Infections in South Korea: A Case Report.
10.14776/piv.2016.23.1.62
- Author:
Reenar YOO
1
;
Seohee KIM
;
Jina LEE
Author Information
1. Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. entier@daum.net
- Publication Type:Case Report
- Keywords:
Skin and soft tissue infections;
Familial cluster;
Decolonization;
ST714;
ST30
- MeSH:
Abscess;
Anti-Bacterial Agents;
Child*;
Female;
Follow-Up Studies;
Humans;
Immunoglobulins;
Infant;
Korea*;
Leukocidins;
Mupirocin;
Needles;
Netherlands;
Skin*;
Soft Tissue Infections*;
Staphylococcus aureus;
Suppuration;
Thoracic Wall
- From:Pediatric Infection & Vaccine
2016;23(1):62-66
- CountryRepublic of Korea
- Language:English
-
Abstract:
Skin and soft tissue infections (SSTIs) caused by community-associated (CA)-methicillin-resistant Staphylococcus aureus (MRSA) have become a worldwide concern. An otherwise healthy 16-month-old Korean girl was admitted because of skin abscess on the left chest wall with a history of recurrent SSTIs since the age of 6 months. Immunologic evaluation including serum immunoglobulin level and nitroblue-tetrazolium (NBT) test were normal. Pus and nasal swab cultures revealed CA-MRSA ST714-SCCmec type IV with the Panton-Valentine leukocidin (PVL) genes, which was initially reported in the Netherlands in 2006 and has not been previously reported in Korea. The skin abscesses were successfully treated by needle aspiration and the use of antibiotics. In addition, nasal mupirocin was applied as a decolonization method. No more episodes of SSTI were observed over a follow-up period of 10 months.