A Case of a Submandibular Abscess caused by Panton-Valentine leukocidin Positive USA 300 Community-associated Methicillin Resistant Staphylococcus aureus in a Foreign Resident of South Korea

Donghyong Jeong; Sangsoo Bae; Inyub Baek; Sangdong Kim; Boyean Kim; Ki Tae Kwon; Kwan Soo Ko; Shinwon Lee

doi:10.3947/ic.2012.44.6.495

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Jeong, Bae, Baek, Kim, Kim, Kwon, Ko, and Lee: A Case of a Submandibular Abscess caused by Panton-Valentine leukocidin Positive USA 300 Community-associated Methicillin Resistant Staphylococcus aureus in a Foreign Resident of South Korea

Case Report

Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(6): 495-498.

Published online: 31 December 2012

DOI: https://doi.org/10.3947/ic.2012.44.6.495

A Case of a Submandibular Abscess caused by Panton-Valentine leukocidin Positive USA 300 Community-associated Methicillin Resistant Staphylococcus aureus in a Foreign Resident of South Korea

Donghyong Jeong¹, Sangsoo Bae¹, Inyub Baek¹, Sangdong Kim¹, Boyean Kim¹, Ki Tae Kwon¹, Kwan Soo Ko², Shinwon Lee¹

¹Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea.

²Department of Molecular Cell Biology, Sungkyunkwan University School of Medicine, Seoul, Korea.

Correspondence to Shinwon Lee, M.D. Division of Infectious Diseases, Department of Internal Medicine, Daegu Fatima Hospital, 183 Ayang-ro, Dong-gu, Daegu 701-600, Korea. Tel: +82-53-940-7523, Fax: +82-53-940-7524, ebenezere@medimail.co.kr

Received 11 May 2012 Revised 3 July 2012 Accepted 4 July 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The incidence of community-associated, methicillin-resistant, Staphylococcus aureus (CA-MRSA) has increased in North America and Europe. One of most important reasons is the spread of Panton-Valentine leukocidin (PVL) positive CA-MRSA strains. On the other hand, CA-MRSA is not associated with the PVL positive strain in South Korea. Few cases of PVL positive CA-MRSA infections were reported in South Korea. We encountered a case of a submandibular abscess caused by MRSA in an otherwise healthy 29-year-old foreign female resident in a military camp. The CA-MRSA infection was confirmed by culture after abscess aspiration. Staphylococcal cassette chromosome mec (SCCmec) typing, multilocus sequence typing and spa typing revealed type IV, ST8 and t008, respectively. The PVL gene was also identified.

Keywords: Methicillin-Resistant Staphylococcus aureus, Community-Acquired infections, Panton-Valentine leukocidin

Figures and Tables

Figure 1

Enhanced Neck CT findings revealed a linear increased density in the subcutaneous fatty layers of the right lateral neck with thickening of the associated platysma muscle (arrow).

Figure 2

Ultrasonogram shows focal irregular margined cystic lesion (arrow) with diffuse increased echotextures of the subcutaneous fat layer of the right submandibular area.

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ORCID iDs: Kwan Soo Ko
https://orcid.org/http://orcid.org/0000-0002-0978-1937
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