지역사회획득 메티실린 내성 황색포도구균 폐렴 1예
A Case of Community-Acquired Methicillin-Resistant Staphylococcus aureus Pneumonia
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초록
입원력이나 뚜렷한 병원접촉이 없던 환자에서 발생하는지역사회획득 메티실린 내성 황색포도구균(CA-MRSA) 감염의 중요성이 최근 대두되고 있다. CA-MRSA는 병원획득MRSA와 다른 유전형과 항생제 감수성을 보인다. CA-MRSA 는 주로 피부 및 연조직 감염의 형태로 나타나지만 점차 폐렴과 같은 중증 감염의 사례도 증가하고 있다. 그러나 국내에서 CA-MRSA 폐렴은 아직 매우 드문 실정이다. 이에 저자들은 최근 유전형을 확인한 CA-MRSA 폐렴 1예를 경험하였기에 문헌고찰과 더불어 보고하는 바이다.
Abstract
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has received considerable attention in recent years as the cause of infections in individuals in the community who do not have traditional risk factors for MRSA infection, such as hospitalization or contact with healthcare services. CA-MRSA strains have different molecular and antimicrobial susceptibilities, as compared to hospital-associated MRSA. Although CA-MRSA strains are primarily associated with skin and soft tissue infections, they can cause more invasive infections, such as severe community-acquired pneumonia. Reports on CA-MRSA pneumonia in Korea are sparse. Therefore, we report a case of CA-MRSA pneumonia with molecular typing of the MRSA isolate.
참고문헌 (10)
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