Panton-Valentine Leukocidin-Producing Staphylococcus aureus Infection: A Case Series

Data de publicação:

Autores da FMUP

  • André Da Silva Marques Pinto

    Autor

  • António Carlos Megre Eugénio Sarmento

    Autor

Participantes de fora da FMUP

  • Prista-Leao, B
  • Abreu, I
  • Duro, R
  • Ceia, F
  • Andrade, P
  • Sobrinho-Simoes, J
  • Tavares, M
  • Pereira, JM
  • Santos, L

Unidades de investigação

Abstract

Panton-Valentine leukocidin-producing Staphylococcus aureus (PVL-SA) is associated with relapsing multifocal skin and soft tissue infections (SSTI), necrotizing pneumonia (NP) and severe musculoskeletal infections. Epidemiology is underknown and underdiagnosis is likely. Recent travel abroad, case clustering and relapsing disease are often reported. We reviewed all cases of PVL-SA infection diagnosed at our center, and found 21 cases over a 43-month period. Most patients were adult males, had relevant travel history, reported recurrent disease and presented with SSTI. Etiologic diagnosis took up to five years; meanwhile, 42% of patients had antibiotic treatments. Draining procedures were required in 43% of patients and intensive care support in 19%. All patients recovered. Methicillin-resistance prevalence was 24%. Only 2/13 decolonized patients had posterior relapsing SSTI, both with likely infected contacts. PVL-SA infection's severity and impact are clear, even in small case series as ours. Physician awareness and active PVL-gene search are crucial for an adequate management.

Dados da publicação

ISSN/ISSNe:
2036-7449, 2036-7430

Infectious Disease Reports  Multidisciplinary Digital Publishing Institute (MDPI)

Tipo:
Article
Páginas:
61-69
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 5

Citações Recebidas na Scopus: 6

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Keywords

  • Panton-Valentine leukocidin; Staphylococcus aureus; toxin; virulence factor

Proyectos asociados

Infecção e imunomodulação

Investigador Principal: António Carlos Megre Eugénio Sarmento

Estudo Clínico Académico (Infecção) . 2019

Streptococcus pyogenes in tumor treatment: the past, present and future

Investigador Principal: António Carlos Megre Eugénio Sarmento

Estudo Clínico Académico (Streptococcus) . 2020

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