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タイトル: Rapidly Progressive Multiple Cavity Formation in Necrotizing Pneumonia Caused by Community-acquired Methicillin-resistant Staphylococcus aureus Positive for the Panton-Valentine Leucocidin Gene
著者: Takigawa, Yuki
Fujiwara, Keiichi
Saito, Takashi
Nakasuka, Takamasa
Ozeki, Taichi
Okawa, Sachi
Takada, Kenji
Iwamoto, Yoshitaka
Kayatani, Hiroe
Minami, Daisuke
Sato, Ken
Nagao, Miki
Shibayama, Takuo
著者名の別形: 長尾, 美紀
キーワード: community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA)
Panton-Valentine leukocidine (PVL) gene
necrotizing pneumonia
multiple cavity formation
influenza
発行日: 1-Mar-2019
出版者: NLM (Medline)
誌名: Internal Medicine
巻: 58
号: 5
開始ページ: 685
終了ページ: 691
抄録: A 66-year-old man was transferred to our hospital for pneumonia that was resistant to sulbactam/ampicillin and levofloxacin therapy. Chest computed tomography showed the rapidly progressive formation of multiple cavities. Methicillin-resistant Staphylococcus aureus (MRSA) was isolated, and the patient was diagnosed with necrotizing pneumonia caused by community-acquired MRSA (CA-MRSA). The MRSA strain had type IV staphylococcus cassette chromosome mec and genes encoding Panton-Valentine leucocidin (PVL). CA-MRSA necrotizing pneumonia with the PVL gene is rare; only three cases have been previously reported in Japan. We administered anti-MRSA antibiotics and the patient achieved complete clinical and radiological improvement.
著作権等: The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
URI: http://hdl.handle.net/2433/237307
DOI(出版社版): 10.2169/internalmedicine.1454-18
PubMed ID: 30333405
出現コレクション:学術雑誌掲載論文等

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