First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil.
Published
Journal Article
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
Duke Authors
Cited Authors
- Fortes, CQ; Espanha, CA; Bustorff, FP; Zappa, BC; Ferreira, ALP; Moreira, RB; Pereira, NG; Fowler, VG; Deshmukh, H
Published Date
- December 2008
Published In
Volume / Issue
- 12 / 6
Start / End Page
- 541 - 543
PubMed ID
- 19287847
Pubmed Central ID
- 19287847
Electronic International Standard Serial Number (EISSN)
- 1678-4391
Digital Object Identifier (DOI)
- 10.1590/s1413-86702008000600020
Language
- eng
Conference Location
- Brazil