Recurrence of pelvic abscess from Panton–Valentine leukocidin-positive community-acquired ST30 methicillin-resistant Staphylococcus aureus
Article first published online: 14 FEB 2013
© 2013 The Authors. Pediatrics International © 2013 Japan Pediatric Society
Volume 55, Issue 1, pages 120–123, February 2013
How to Cite
Isobe, H., Miyasaka, D., Ito, T., Takano, T., Nishiyama, A., Iwao, Y., Khokhlova, O. E., Okubo, T., Endo, N. and Yamamoto, T. (2013), Recurrence of pelvic abscess from Panton–Valentine leukocidin-positive community-acquired ST30 methicillin-resistant Staphylococcus aureus. Pediatrics International, 55: 120–123. doi: 10.1111/j.1442-200X.2012.03612.x
- Issue published online: 14 FEB 2013
- Article first published online: 14 FEB 2013
- Received 29 November 2011; revised 27 January 2012; accepted 24 February 2012.
- community-acquired methicillin-resistant Staphylococcus aureus;
- Panton–Valentine leukocidin;
- pelvic abscess;
A 17-year-old female patient (a basketball player) suffered from recurrent pelvic abscesses from methicillin-resistant Staphylococcus aureus (MRSA). The first episode, from strain NN12, occurred in October 2004. Her cutaneous abscesses complicated into systemic progression to osteomyelitis and multifocal pelvic abscesses, adjacent to the sacroiliac joint. The second episode, abscesses at tissues adjacent to the sacroiliac joint from strain NN31A, occurred late in February 2005. The third episode, from strain NN31B, occurred on July 30, 2005, repeating the second episode. Three MRSA strains were identical in terms of genotypes (belonging to Panton-Valentine leukocidin [PVL]-positive ST30 community-acquired MRSA, CA-MRSA), pulsed-field gel electrophoresis patterns, and peptide cytolysin gene (psmα) expression levels. The three MRSA strains exhibited superior THP-1 cell invasion ability over hospital-acquired MRSA (New York/Japan clone). The data suggest that PVL-positive ST30 CA-MRSA, with high levels of cell invasion and peptide cytolysins, causes recurrence of pelvic abscesses in a healthy adolescent.