[Community-associated MRSA and Panton-Valentine leukocidin (PVL): novel trends in epidemiology and forensic implications].
Identifieur interne : 000325 ( Main/Corpus ); précédent : 000324; suivant : 000326[Community-associated MRSA and Panton-Valentine leukocidin (PVL): novel trends in epidemiology and forensic implications].
Auteurs : Ingo Pedal ; Oliver NolteSource :
- Archiv fur Kriminologie [ 0003-9225 ]
English descriptors
- KwdEn :
- Adolescent, Bacterial Toxins (analysis), Community-Acquired Infections (pathology), Diagnosis, Differential, Disease Progression, Exotoxins (analysis), Expert Testimony (legislation & jurisprudence), Female, Germany, Humans, Influenza A virus, Influenza, Human (pathology), Leukocidins (analysis), Lung (pathology), Lung Abscess (pathology), Malpractice (legislation & jurisprudence), Methicillin-Resistant Staphylococcus aureus, Necrosis, Pneumonia, Staphylococcal (pathology), Prognosis, Superinfection (pathology).
- MESH :
- chemical , analysis : Bacterial Toxins, Exotoxins, Leukocidins.
- geographic : Germany.
- legislation & jurisprudence : Expert Testimony, Malpractice.
- pathology : Community-Acquired Infections, Influenza, Human, Lung, Lung Abscess, Pneumonia, Staphylococcal, Superinfection.
- Adolescent, Diagnosis, Differential, Disease Progression, Female, Humans, Influenza A virus, Methicillin-Resistant Staphylococcus aureus, Necrosis, Prognosis.
Abstract
The propagation of multi-resistant bacteria, especially methicilline-resistant Staphylococcus aureus strains (MRSA), in hospitals and nursing homes is a well-known sanitary and therapeutic problem (Healthcare-associated MRSA, HA-MRSA). For some years, an increasing incidence of MRSA outside the hospital environment (Community-acquired or Community-Associated MRSA, CA-MRSA) has been observed all over the world, which, contrary to the hospital strains, produces the leukocytotoxic toxin PVL and causes purulent inflammations of the skin and necrotizing pneumonia. In previously healthy children and adolescents these pneumonias are fatal in most cases. The authors report a case of fatal necrotizing S. aureus pneumonia in a 16-year-old girl observed in 2001. The suspicion that the infection had been caused by a CA-MRSA strain following an influenza A infection was confirmed by the bacteriological investigation of a heart blood specimen stored for more than 2 years at 4 degrees C. In view of the bad prognosis and the fulminat course of these special pneumonias the attending physician could not be accused of having caused the death of the girl by omitting the indicated antibiotic treatment. This case of pneumonia caused by CA-MRSA was one of the first seen in Germany. The epidemiological situation suggests that a higher incidence has to be expected in the future.
PubMed: 20506711
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pubmed:20506711Le document en format XML
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For some years, an increasing incidence of MRSA outside the hospital environment (Community-acquired or Community-Associated MRSA, CA-MRSA) has been observed all over the world, which, contrary to the hospital strains, produces the leukocytotoxic toxin PVL and causes purulent inflammations of the skin and necrotizing pneumonia. In previously healthy children and adolescents these pneumonias are fatal in most cases. The authors report a case of fatal necrotizing S. aureus pneumonia in a 16-year-old girl observed in 2001. The suspicion that the infection had been caused by a CA-MRSA strain following an influenza A infection was confirmed by the bacteriological investigation of a heart blood specimen stored for more than 2 years at 4 degrees C. In view of the bad prognosis and the fulminat course of these special pneumonias the attending physician could not be accused of having caused the death of the girl by omitting the indicated antibiotic treatment. This case of pneumonia caused by CA-MRSA was one of the first seen in Germany. The epidemiological situation suggests that a higher incidence has to be expected in the future.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20506711</PMID><DateCompleted><Year>2010</Year><Month>06</Month><Day>16</Day></DateCompleted><DateRevised><Year>2010</Year><Month>05</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-9225</ISSN><JournalIssue CitedMedium="Print"><Volume>225</Volume><Issue>3-4</Issue><PubDate><MedlineDate>2010 Mar-Apr</MedlineDate></PubDate></JournalIssue><Title>Archiv fur Kriminologie</Title><ISOAbbreviation>Arch Kriminol</ISOAbbreviation></Journal><ArticleTitle>[Community-associated MRSA and Panton-Valentine leukocidin (PVL): novel trends in epidemiology and forensic implications].</ArticleTitle><Pagination><MedlinePgn>119-29</MedlinePgn></Pagination><Abstract><AbstractText>The propagation of multi-resistant bacteria, especially methicilline-resistant Staphylococcus aureus strains (MRSA), in hospitals and nursing homes is a well-known sanitary and therapeutic problem (Healthcare-associated MRSA, HA-MRSA). For some years, an increasing incidence of MRSA outside the hospital environment (Community-acquired or Community-Associated MRSA, CA-MRSA) has been observed all over the world, which, contrary to the hospital strains, produces the leukocytotoxic toxin PVL and causes purulent inflammations of the skin and necrotizing pneumonia. In previously healthy children and adolescents these pneumonias are fatal in most cases. The authors report a case of fatal necrotizing S. aureus pneumonia in a 16-year-old girl observed in 2001. The suspicion that the infection had been caused by a CA-MRSA strain following an influenza A infection was confirmed by the bacteriological investigation of a heart blood specimen stored for more than 2 years at 4 degrees C. In view of the bad prognosis and the fulminat course of these special pneumonias the attending physician could not be accused of having caused the death of the girl by omitting the indicated antibiotic treatment. This case of pneumonia caused by CA-MRSA was one of the first seen in Germany. The epidemiological situation suggests that a higher incidence has to be expected in the future.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pedal</LastName><ForeName>Ingo</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Institut für Rechtsmedizin der Universität Heidelberg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nolte</LastName><ForeName>Oliver</ForeName><Initials>O</Initials></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>"Community acquired" MRSA und das Panton-Valentine-Leukocidin (PVL): neue epidemiologische Entwicklungen und ihre forensische Bedeutung.</VernacularTitle></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Arch Kriminol</MedlineTA><NlmUniqueID>0002256</NlmUniqueID><ISSNLinking>0003-9225</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D001427">Bacterial Toxins</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D005098">Exotoxins</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007956">Leukocidins</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="C078284">Panton-Valentine leukocidin</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001427" MajorTopicYN="N">Bacterial Toxins</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017714" MajorTopicYN="N">Community-Acquired Infections</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018450" MajorTopicYN="N">Disease Progression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005098" MajorTopicYN="N">Exotoxins</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005104" MajorTopicYN="N">Expert Testimony</DescriptorName><QualifierName UI="Q000331" MajorTopicYN="N">legislation & jurisprudence</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009980" MajorTopicYN="N">Influenza A virus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007956" MajorTopicYN="N">Leukocidins</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008169" MajorTopicYN="N">Lung Abscess</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008318" MajorTopicYN="N">Malpractice</DescriptorName><QualifierName UI="Q000331" MajorTopicYN="N">legislation & jurisprudence</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055624" MajorTopicYN="Y">Methicillin-Resistant Staphylococcus aureus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009336" MajorTopicYN="N">Necrosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011023" MajorTopicYN="N">Pneumonia, Staphylococcal</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015163" MajorTopicYN="N">Superinfection</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>5</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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