First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil
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 an...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
|
| Series: | Brazilian Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000600020&lng=en&tlng=en |
| _version_ | 1818199467163123712 |
|---|---|
| author | Claudio Querido Fortes Claudia Adelino Espanha Flavio Pedreira Bustorff Bruno Cordeiro Zappa Adriana Lucia Pires Ferreira Regina Barbosa Moreira Nelson Gonçalves Pereira Vance G. Fowler Jr. Hitesh Deshmukh |
| author_facet | Claudio Querido Fortes Claudia Adelino Espanha Flavio Pedreira Bustorff Bruno Cordeiro Zappa Adriana Lucia Pires Ferreira Regina Barbosa Moreira Nelson Gonçalves Pereira Vance G. Fowler Jr. Hitesh Deshmukh |
| author_sort | Claudio Querido Fortes |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T02:22:13Z |
| format | Article |
| id | doaj.art-29ecaaa175884f34b14ad40c4f6ad81c |
| institution | Directory Open Access Journal |
| issn | 1678-4391 |
| language | English |
| last_indexed | 2024-12-12T02:22:13Z |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-29ecaaa175884f34b14ad40c4f6ad81c2022-12-22T00:41:39ZengElsevierBrazilian Journal of Infectious Diseases1678-439112654154310.1590/S1413-86702008000600020S1413-86702008000600020First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in BrazilClaudio Querido Fortes0Claudia Adelino Espanha1Flavio Pedreira Bustorff2Bruno Cordeiro Zappa3Adriana Lucia Pires Ferreira4Regina Barbosa Moreira5Nelson Gonçalves Pereira6Vance G. Fowler Jr.7Hitesh Deshmukh8Universidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroUniversidade Federal do Rio de JaneiroDuke University Medical CenterDuke University Medical CenterWe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000600020&lng=en&tlng=enInfective endocarditisCA-MRSABrazilPVL |
| spellingShingle | Claudio Querido Fortes Claudia Adelino Espanha Flavio Pedreira Bustorff Bruno Cordeiro Zappa Adriana Lucia Pires Ferreira Regina Barbosa Moreira Nelson Gonçalves Pereira Vance G. Fowler Jr. Hitesh Deshmukh First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil Brazilian Journal of Infectious Diseases Infective endocarditis CA-MRSA Brazil PVL |
| title | First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil |
| title_full | First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil |
| title_fullStr | First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil |
| title_full_unstemmed | First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil |
| title_short | First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil |
| title_sort | first reported case of infective endocarditis caused by community acquired methicillin resistant staphylococcus aureus not associated with healthcare contact in brazil |
| topic | Infective endocarditis CA-MRSA Brazil PVL |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000600020&lng=en&tlng=en |
| work_keys_str_mv | AT claudioqueridofortes firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT claudiaadelinoespanha firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT flaviopedreirabustorff firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT brunocordeirozappa firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT adrianaluciapiresferreira firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT reginabarbosamoreira firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT nelsongoncalvespereira firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT vancegfowlerjr firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil AT hiteshdeshmukh firstreportedcaseofinfectiveendocarditiscausedbycommunityacquiredmethicillinresistantstaphylococcusaureusnotassociatedwithhealthcarecontactinbrazil |