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Infect Chemother. 2009 Feb;41(1):58-61. Korean. Case Report.
Kim JH , Kang EJ , Jung YS , Jeon MH , Kim TH , Sin HB , Park SJ , Choo EJ .
Department of Internal Medicine, Soonchunhyang University School of Medicine, Bucheon, Korea.
Department of Laboratory Medicine, Soonchunhyang University School of Medicine, Bucheon, Korea.
Center for Antimicrobial Resistance and Microbial Genetics, University of Ulsan, Seoul, Korea.

Recent reports have described an increasing incidence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in patients who do not exhibit established risk factors for healthcare exposure. We report two cases of CA-MRSA bacteremia complicated by vertebral osteomyelitis. Both of CA-MRSA isolates were resistant to beta-lactam agents, but susceptible to clindamycin, trimethoprim-sulfamethoxazole, gentamicin, ciprofloxacin, and tetracycline. Both isolates carried staphylococcal cassette chromosome mec (SCCmec) type IVA, and were identified as sequence type (ST) 72 by mlultilocus sequence typing (MLST). However, the Panton-Valentine leukocidin (PVL) gene was not identified.

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