Rutar Tina
Department of Ophthalmology, University of California, San Francisco, San Francisco, California, USA.
J AAPOS. 2009 Feb;13(1):79-81. doi: 10.1016/j.jaapos.2008.08.005. Epub 2008 Oct 18.
Methicillin-resistant Staphylococcus aureus (MRSA) infections are becoming increasingly common in the community, especially among children.(1) Community MRSA differs from the more familiar nosocomial MRSA in having a distinct epidemiology and a broader antibiotic-susceptibility profile.(2) Community MRSA can infect the eye and orbit.(3,4) Cases have been reported in otherwise-healthy children, including chronic dacryocystitis in an 8-month-old infant and orbital cellulitis in a 16-month-old child.(5,6) I report a case of perinatally acquired community MRSA dacryocystitis and periorbital cellulitis associated with bacteremia in a 12-day-old previously healthy, full-term neonate.
耐甲氧西林金黄色葡萄球菌（MRSA）感染在社区中越来越常见，尤其是在儿童中。（1）社区获得性MRSA与更为常见的医院获得性MRSA不同，具有独特的流行病学特征和更广泛的抗生素敏感性谱。（2）社区获得性MRSA可感染眼睛和眼眶。（3,4）已有报道称，在原本健康的儿童中出现了相关病例，包括一名8个月大婴儿的慢性泪囊炎和一名16个月大儿童的眼眶蜂窝织炎。（5,6）我报告了一例12天大、此前健康的足月儿，其围产期获得社区获得性MRSA泪囊炎和眶周蜂窝织炎并伴有菌血症。
