First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil
Braz. j. infect. dis
; 12(6): 541-543, Dec. 2008. ilus
Article
in English
| LILACS
| ID: lil-507459
Responsible library:
BR1.1
ABSTRACT
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 was treated with Vancomycin and made complete recovery in 3 months.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Staphylococcal Infections
/
Endocarditis, Bacterial
/
Methicillin-Resistant Staphylococcus aureus
Type of study:
Diagnostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2008
Document type:
Article
Affiliation country:
Brazil
/
United States
Institution/Affiliation country:
Clementino Fraga Filho Hospital/BR
/
Duke University Medical Center/US