Prosthetic Valve Endocarditis Caused by ST8 SCCmecIVl Type Community-associated Methicillin-resistant Staphylococcus aureus

The emergence of a Japan-intrinsic community associated methicillin-resistant Staphylococcus aureus strain (CA-MRSA/J) has been reported. A 70-year-old man with recurrent colon cancer and a history of mitral valve replacement was admitted to the hospital in a state of shock. He was diagnosed with pr...

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Bibliographic Details
Published in:Internal Medicine 2019/03/01, Vol.58(5), pp.743-747
Main Authors: Kitagawa, Hiroki, Ohge, Hiroki, Hisatsune, Junzo, Kajihara, Toshiki, Katayama, Keijiro, Takahashi, Shinya, Sueda, Taijiro, Sugai, Motoyuki
Format: Article
Language:English
Subjects:
Case Report
Colon cancer
community-associated methicillin-resistant Staphylococcus aureus
Drug resistance
Endocarditis
Heart surgery
infectious endocarditis
Internal medicine
Methicillin
Mitral valve
multilocus sequence
Penicillin
Prostheses
Septic shock
Staphylococcal enterotoxin F
Staphylococcus aureus
Staphylococcus infections
Toxic shock syndrome
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Summary:The emergence of a Japan-intrinsic community associated methicillin-resistant Staphylococcus aureus strain (CA-MRSA/J) has been reported. A 70-year-old man with recurrent colon cancer and a history of mitral valve replacement was admitted to the hospital in a state of shock. He was diagnosed with prosthetic valve endocarditis (PVE) caused by MRSA and underwent cardiac surgery. The MRSA isolates belonged to multilocus sequence type 8 and carried staphylococcal cassette chromosome mec IVl and the genes of toxic shock syndrome toxin-1, enterotoxin C, and enterotoxin L. These characteristics indicated a CA-MRSA/J clone. This is the first reported case of PVE caused by CA-MRSA/J.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1415-18