Al-Tawfiq Jaffar A, Aldaabil Riyadh A
Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Room A-420, Building 61, P.O. Box 76, Saudi Aramco, Dhahran 31311, Saudi Arabia.
J Infect. 2005 Nov;51(4):e241-3. doi: 10.1016/j.jinf.2004.08.028.
Methicillin-resistant Staphylococcus aureus (MRSA) is being recognized increasingly as a cause of community-acquired infection. The organism usually causes skin and soft tissue infection. Here, we present a patient with community-acquired MRSA pneumonia and review the literature. The patient, a 37-year-old Saudi male with no significant medical history was admitted with fever, respiratory distress and scrotal ulceration. Scrotal swabs and blood cultures grew MRSA. Imaging studies showed necrotizing pneumonia. Physical examination and echocardiographic findings revealed no evidence of endocarditis. The patient was treated successfully with 4 weeks of intravenous vancomycin. The infection appears to have originated in the skin and subcutaneous tissues of the scrotum, and subsequently led to necrotizing pneumonia. Community-acquired MRSA pneumonia has been associated with the production of Panton-Valentine leukocidin.
耐甲氧西林金黄色葡萄球菌（MRSA）日益被认为是社区获得性感染的一个病因。该病菌通常引起皮肤和软组织感染。在此，我们报告一例社区获得性MRSA肺炎患者并复习相关文献。该患者为一名37岁沙特男性，无重大病史，因发热、呼吸窘迫和阴囊溃疡入院。阴囊拭子和血培养检出MRSA。影像学检查显示坏死性肺炎。体格检查和超声心动图检查结果未发现心内膜炎证据。患者接受了4周静脉注射万古霉素治疗并获成功。感染似乎起源于阴囊的皮肤和皮下组织，随后导致坏死性肺炎。社区获得性MRSA肺炎与杀白细胞素的产生有关。
