Pagac Benedict B, Reiland Ronald W, Bolesh David T, Swanson David L
Department of Entomology, University of California, Riverside 92521, USA.
Mil Med. 2006 Sep;171(9):830-2. doi: 10.7205/milmed.171.9.830.
Recent outbreaks of mysterious skin lesions on multiple personnel at several military facilities were initially blamed on spiders. Requests were made for pest inspection and control to remedy the situation. Greater scrutiny of the situation led to a hypothesis that instead of spiders, an infectious outbreak of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) should be investigated as the etiology. Subsequent culturing of the lesions on personnel at one facility confirmed this bacterial etiology. Barracks, as well as other close quarter military living conditions, are ripe environments for the establishment, persistence, and spread of CA-MRSA. Military medical personnel should consider CA-MRSA as a more likely etiologic agent than spider bites for cutaneous eruptions in which there are multiple lesions on one person or multiple patients with similar lesions.
最近，几个军事基地的多名人员身上出现了神秘的皮肤损伤，最初人们将其归咎于蜘蛛。有人请求进行虫害检查和防治以改善这种情况。对该情况的进一步审查得出一个假设，即应调查社区获得性耐甲氧西林金黄色葡萄球菌（CA-MRSA）的传染性暴发，而非蜘蛛，以此作为病因。随后，对一个军事基地人员身上的损伤进行培养，证实了这种细菌病因。营房以及其他军事人员密集居住环境，是CA-MRSA滋生、持续存在和传播的理想环境。对于皮肤上出现多处损伤的个人或多名有类似损伤的患者，军事医务人员应认为CA-MRSA比蜘蛛叮咬更有可能是病因。
