Infect Chemother.  2012 Dec;44(6):495-498. 10.3947/ic.2012.44.6.495.

A Case of a Submandibular Abscess caused by Panton-Valentine leukocidin Positive USA 300 Community-associated Methicillin Resistant Staphylococcus aureus in a Foreign Resident of South Korea

• Jeong D
• Bae S
• Baek I
• Kim S
• Kim B
• Kwon KT
• Ko KS
• Lee S

• KMID: 1806941
• DOI: http://doi.org/10.3947/ic.2012.44.6.495

Abstract

The incidence of community-associated, methicillin-resistant, Staphylococcus aureus (CA-MRSA) has increased in North America and Europe. One of most important reasons is the spread of Panton-Valentine leukocidin (PVL) positive CA-MRSA strains. On the other hand, CA-MRSA is not associated with the PVL positive strain in South Korea. Few cases of PVL positive CA-MRSA infections were reported in South Korea. We encountered a case of a submandibular abscess caused by MRSA in an otherwise healthy 29-year-old foreign female resident in a military camp. The CA-MRSA infection was confirmed by culture after abscess aspiration. Staphylococcal cassette chromosome mec (SCCmec) typing, multilocus sequence typing and spa typing revealed type IV, ST8 and t008, respectively. The PVL gene was also identified.

Keyword

Methicillin-Resistant Staphylococcus aureus; Community-Acquired infections; Panton-Valentine leukocidin

MeSH Terms

Abscess
Bacterial Toxins
Community-Acquired Infections
Europe
Exotoxins
Female
Hand
Humans
Incidence
Leukocidins
Methicillin
Methicillin Resistance
Methicillin-Resistant Staphylococcus aureus
Military Personnel
Multilocus Sequence Typing
North America
Republic of Korea
Sprains and Strains
Staphylococcus
Staphylococcus aureus
Bacterial Toxins
Exotoxins
Leukocidins
Methicillin

Figure

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  Figure 1 Enhanced Neck CT findings revealed a linear increased density in the subcutaneous fatty layers of the right lateral neck with thickening of the associated platysma muscle (arrow).

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  Figure 2 Ultrasonogram shows focal irregular margined cystic lesion (arrow) with diffuse increased echotextures of the subcutaneous fat layer of the right submandibular area.

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