Pediatr Infect Vaccine.  2016 Apr;23(1):62-66. 10.14776/piv.2016.23.1.62.

ST714-SCCmec type IV CA-MRSA isolated from a Child with Recurrent Skin and Soft Tissue Infections in South Korea: A Case Report

• Yoo R
• Kim S
• Lee J

• KMID: 2163225
• DOI: http://doi.org/10.14776/piv.2016.23.1.62

Abstract

Skin and soft tissue infections (SSTIs) caused by community-associated (CA)-methicillin-resistant Staphylococcus aureus (MRSA) have become a worldwide concern. An otherwise healthy 16-month-old Korean girl was admitted because of skin abscess on the left chest wall with a history of recurrent SSTIs since the age of 6 months. Immunologic evaluation including serum immunoglobulin level and nitroblue-tetrazolium (NBT) test were normal. Pus and nasal swab cultures revealed CA-MRSA ST714-SCCmec type IV with the Panton-Valentine leukocidin (PVL) genes, which was initially reported in the Netherlands in 2006 and has not been previously reported in Korea. The skin abscesses were successfully treated by needle aspiration and the use of antibiotics. In addition, nasal mupirocin was applied as a decolonization method. No more episodes of SSTI were observed over a follow-up period of 10 months.

Keyword

Skin and soft tissue infections; Familial cluster; Decolonization; ST714; ST30

MeSH Terms

Abscess
Anti-Bacterial Agents
Child*
Female
Follow-Up Studies
Humans
Immunoglobulins
Infant
Korea*
Leukocidins
Mupirocin
Needles
Netherlands
Skin*
Soft Tissue Infections*
Staphylococcus aureus
Suppuration
Thoracic Wall
Anti-Bacterial Agents
Immunoglobulins
Leukocidins
Mupirocin

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