Title |
First reported case of infective endocarditis caused by community-acquired methicillin-resistant Staphylococcus aureus not associated with healthcare contact in Brazil
|
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Published in |
Brazilian Journal of Infectious Diseases, December 2008
|
DOI | 10.1590/s1413-86702008000600020 |
Pubmed ID | |
Authors |
Claudio Querido Fortes, Claudia Adelino Espanha, Flavio Pedreira Bustorff, Bruno Cordeiro Zappa, Adriana Lucia Pires Ferreira, Regina Barbosa Moreira, Nelson Gonçalves Pereira, Vance G. Fowler, Hitesh Deshmukh |
Abstract |
We report here the first case of endocarditis due to CA-MRSA not associated with healthcare contact in Brazil in Brazil. A previously healthy patient presented with history of endocarditis following a traumatic wound infection. Patient had multiple positive blood cultures within 72 h of admission and met modified Duke's criterion for infective endocarditis. The isolate was typed as Staphylococcal cassette chromosome (SCC) mec type IV and was positive for presence of Panton-Valentine leukocidin (PVL). Increased incidence of CA-MRSA endocarditis is a challenge for the internist to choose the best empirical therapy. Several authors have suggested an empirical therapy with both a beta-lactam and an anti-MRSA agent for serious S. aureus infections. Our patient was treated with Vancomycin and made complete recovery in 3 months. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 8 | 19% |
Student > Bachelor | 7 | 17% |
Student > Master | 6 | 14% |
Professor > Associate Professor | 4 | 10% |
Student > Doctoral Student | 3 | 7% |
Other | 9 | 21% |
Unknown | 5 | 12% |
Readers by discipline | Count | As % |
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Nursing and Health Professions | 2 | 5% |
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Unknown | 7 | 17% |