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A Case of Acute Pyelonephritis Caused by Community AcquiredMethicillin-Resistant Staphylococcus aureus
Sue-Yun Kim, M.D.1, Jin Yong Kim, M.D.1, Hee Seung Lee1, Chulmin Park, Ph.D.3, Yoon Soo Park, M.D.1, Yiel-Hae Seo, M.D.2 and Yong Kyun Cho, M.D., Ph.D.1,2
Departments of Internal Medicine1 and Laboratory Medicine2, Gachon University Gil Medical Center, Incheon, KoreaCatholic Research Institutes of Medical Science3, The Catholic University of Korea, Seoul, Korea
Vol.39 Num.2 (p100~103)
n the past decade, methicillin-resistant staphylococcus aureus (MRSA) have emerged in the community, causing serious infection in young and healthy persons without established risk factors for MRSA acquisition. This community acquired methicillin- resistant S. aureus (CA-MRSA) has been usually reported to cause the skin and soft tissue infection and necrotizing pneumonia. We have experienced a case of acute pyelonephritis caused by CA-MRSA without health care-associated risk factors. The staphylococcal cassette chromosome mec (SCCmec) typing and multilocus sequence typing (MLST) revealed the ST5- MRSA-IV clone, which showed SCCmec type IV and MLST allelic profile of ST5 (1-4-1-4-12-1-10).
Keywords : Community acquired methicillin-resistant staphylococcus aureus, Acute pyelonephritis, Multilocus sequence typing