Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile

Community acquired infections with methicillin resistant strains of Staphylococcus aureus (MRSA) infections have a more aggresive clinical course and involve mostly skin and lungs. These infections appear as outbreaks among prisoners, spoñsmen, men having sex with men and military personnel. The hig...

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Autores principales: Noriega,Luis Miguel, González,Patricia, Hormazábal,Juan Carlos, Pinto,Consuelo, Canals,Magdalena, Munita,José Manuel, Thompson,Luis, Marcotti,Alejandra, Pérez,Jorge, Ibáñez,Daniel, Araya,Pamela, Canals,Claudio, Vial,Pablo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2008
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700010
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spelling oai:scielo:S0034-988720080007000102008-09-04Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en ChileNoriega,Luis MiguelGonzález,PatriciaHormazábal,Juan CarlosPinto,ConsueloCanals,MagdalenaMunita,José ManuelThompson,LuisMarcotti,AlejandraPérez,JorgeIbáñez,DanielAraya,PamelaCanals,ClaudioVial,Pablo Leukocidins Methicillin Staphylococcus aureus Community acquired infections with methicillin resistant strains of Staphylococcus aureus (MRSA) infections have a more aggresive clinical course and involve mostly skin and lungs. These infections appear as outbreaks among prisoners, spoñsmen, men having sex with men and military personnel. The higher aggressiveness of these strains is due to the production of several toxins, mainly Panton- Valentine leukocidine. The detection of the gene that codes for this toxin is a distinctive feature ofthese strains. We report five patients with community acquired MRSA infections. The clinicalpresentation was a skin infection in all. One patient had a pleuropneumonia in addition. Apart for resistance to beta-lactam antimicrobials, the strains were resistant to erythromycin and ciprofloxacin. Patients were treated with vancomycin, clotrimoxazole or intravenous clindamycin with a good evolution. An epidemiológical surveillance for community acquired MRSA strain infections should be started and measures to adequately treat infected patients and avoid dissemination should be implementedinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.7 20082008-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700010es10.4067/S0034-98872008000700010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Leukocidins
Methicillin
Staphylococcus aureus
spellingShingle Leukocidins
Methicillin
Staphylococcus aureus
Noriega,Luis Miguel
González,Patricia
Hormazábal,Juan Carlos
Pinto,Consuelo
Canals,Magdalena
Munita,José Manuel
Thompson,Luis
Marcotti,Alejandra
Pérez,Jorge
Ibáñez,Daniel
Araya,Pamela
Canals,Claudio
Vial,Pablo
Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
description Community acquired infections with methicillin resistant strains of Staphylococcus aureus (MRSA) infections have a more aggresive clinical course and involve mostly skin and lungs. These infections appear as outbreaks among prisoners, spoñsmen, men having sex with men and military personnel. The higher aggressiveness of these strains is due to the production of several toxins, mainly Panton- Valentine leukocidine. The detection of the gene that codes for this toxin is a distinctive feature ofthese strains. We report five patients with community acquired MRSA infections. The clinicalpresentation was a skin infection in all. One patient had a pleuropneumonia in addition. Apart for resistance to beta-lactam antimicrobials, the strains were resistant to erythromycin and ciprofloxacin. Patients were treated with vancomycin, clotrimoxazole or intravenous clindamycin with a good evolution. An epidemiológical surveillance for community acquired MRSA strain infections should be started and measures to adequately treat infected patients and avoid dissemination should be implemented
author Noriega,Luis Miguel
González,Patricia
Hormazábal,Juan Carlos
Pinto,Consuelo
Canals,Magdalena
Munita,José Manuel
Thompson,Luis
Marcotti,Alejandra
Pérez,Jorge
Ibáñez,Daniel
Araya,Pamela
Canals,Claudio
Vial,Pablo
author_facet Noriega,Luis Miguel
González,Patricia
Hormazábal,Juan Carlos
Pinto,Consuelo
Canals,Magdalena
Munita,José Manuel
Thompson,Luis
Marcotti,Alejandra
Pérez,Jorge
Ibáñez,Daniel
Araya,Pamela
Canals,Claudio
Vial,Pablo
author_sort Noriega,Luis Miguel
title Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
title_short Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
title_full Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
title_fullStr Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
title_full_unstemmed Staphylococcus aureus comunitario resistente a cloxacilina: Comunicación de los primeros cinco casos descritos en Chile
title_sort staphylococcus aureus comunitario resistente a cloxacilina: comunicación de los primeros cinco casos descritos en chile
publisher Sociedad Médica de Santiago
publishDate 2008
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700010
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