Necrotizing Pneumonia in the Community

Otera, Hiroshi; Yamamoto, Go; Ohkusu, Kiyofumi; Kozuki, Haruka; Hashimoto, Kimio; Tada, Kimihide

doi:10.2169/internalmedicine.51.7626

Cited by 4 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25,26,27 However, they may also be implicated in severe infectious conditions, such as meningitis, pneumonia, bacteremia, and septic shock. 28,29,30 Molecular analysis was consistent with presence of the mec A gene , contained in a clonal type IV SCC mec . Molecular findings also confirmed an increased antimicrobial susceptibility profile; this is attributableto the smaller cassette, which, in most cases, does not harbor other resistance-determining factors, unlike classic hospital-acquired strains.…”

Section: Discussionmentioning

confidence: 54%

Phenotypic, molecular and antimicrobial susceptibility assessment in isolates from chronic ulcers of cured leprosy patients: a case study in Southern Brazil

Gelatti

Bonamigo

Becker

et al. 2014

An. Bras. Dermatol.

View full text Add to dashboard Cite

BACKGROUND One of the most stigmatizing physical sequelaeof leprosy in cured patients is the development of chronic lower extremity ulcers. The bacterial diversity present in ulcers is considered one of the factors that can delay the healing process, as well as serve as a focus for severe secondary infections. OBJECTIVE To identify the microbiota and antimicrobial resistance profile of bacteria isolated from skin ulcers in patients cured of leprosy. METHODSAfter obtaining informed consent, material was collected from ulcers of 16 patients treated at the Outpatient Public Health Dermatology Clinic of Rio Grande do Sul and Hospital Colônia Itapuã. Sampleswere collected during dressing, and the material sent to the Microbiology Laboratory of the Federal University of Health Sciences of Porto Alegre for microbiological culture. Methicillin-resistant Staphylococcus aureus (MRSA) was characterized by two molecular methods, including detection of the mecA gene by PCR and SCCmecgene typing. RESULTS Cultures revealed microorganisms in all ulcers: Gram-negative bacilli in 80%, Gram-positive cocci in 63%, and mixed microflora in 36%. Staphylococcus aureus and Pseudomonas aeruginosa were the most prevalent bacteria. Assessment of the antimicrobial resistance profile was notable for the presence of MRSA. Molecular analysis of this isolate revealed presence of the mecA gene contained in a type IV staphylococcal cassette chromosome mec (SCCmec). CONCLUSIONS In patients with leprosy, laboratory culture of skin ulcers is essential for correct antibiotic selection and to control emerging pathogens, such as MRSA carrying SCCmec type IV.

show abstract

Section: Discussionmentioning

confidence: 54%

Phenotypic, molecular and antimicrobial susceptibility assessment in isolates from chronic ulcers of cured leprosy patients: a case study in Southern Brazil

Gelatti

Bonamigo

Becker

et al. 2014

An. Bras. Dermatol.

View full text Add to dashboard Cite

show abstract

“…Based on our search of Medline and Igaku Chuo Zasshi (a tool for searching Japanese biomedical publications), no case series or controlled studies were identified. We could identify 8 cases (3 male and 5 female); 4 case reports were written in English, and 4 were written in Japanese and had been cited by both Japanese and English studies (age range: 16–77 years; median age: 44 years) (Table 1) [11], [12], [13], [14], [15], [16], [17], [18]. Among these cases, skin and soft tissue infections and necrotizing pneumonia were the main portal of entry.…”

Section: Discussionmentioning

confidence: 99%

Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan

Sada

Fukuda

Ishimaru

2017

IDCases

View full text Add to dashboard Cite

Community-acquired methicillin-resistant Staphylococcus aureus has been spreading worldwide, including in Japan. However, few cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus have been reported in Japan. We report 2 cases, in middle-aged women, of toxic shock syndrome due to Community-acquired methicillin-resistant Staphylococcus aureus via a vaginal portal of entry. The first patient had used a tampon and the second patient had vaginitis due to a cleft narrowing associated with vulvar lichen sclerosus. Both patients were admitted to our hospital with septic shock and severe acute kidney injury and subsequently recovered with appropriate antibiotic treatment. In our review of the literature, 8 cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus were reported in Japan. In these 8 cases, the main portals of entry were the skin and respiratory tract; however, the portal of entry of Community-acquired methicillin-resistant Staphylococcus aureus from a vaginal lesion has not been reported in Japan previously.

show abstract

Neumonías necrosantes graves con empiema asociado

et al. 2016

Revista Chilena de Cirugía

View full text Add to dashboard Cite

Necrotizing Pneumonia in the Community

Cited by 4 publications

References 19 publications

Phenotypic, molecular and antimicrobial susceptibility assessment in isolates from chronic ulcers of cured leprosy patients: a case study in Southern Brazil

Phenotypic, molecular and antimicrobial susceptibility assessment in isolates from chronic ulcers of cured leprosy patients: a case study in Southern Brazil

Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan

Neumonías necrosantes graves con empiema asociado

Contact Info

Product

Resources

About