The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Community-Acquired Methicillin-Resistant Staphylococcus aureus Pneumonia

지역사회획득 메티실린 내성 황색포도구균 폐렴 1예

  • Lee, Yong Hoon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Cha, Seung-Ick (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Lee, So Yeon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Choi, Sun Ha (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Oh, Serim (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Seo, Hyewon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Jungmin (Department of Microbiology, Kyungpook National University School of Medicine)
  • 이용훈 (경북대학교 의학전문대학원 내과학교실) ;
  • 차승익 (경북대학교 의학전문대학원 내과학교실) ;
  • 이소연 (경북대학교 의학전문대학원 내과학교실) ;
  • 최선하 (경북대학교 의학전문대학원 내과학교실) ;
  • 오세림 (경북대학교 의학전문대학원 내과학교실) ;
  • 서혜원 (경북대학교 의학전문대학원 내과학교실) ;
  • 김정민 (경북대학교 의학전문대학원 미생물학교실)
  • Received : 2012.09.22
  • Accepted : 2012.11.26
  • Published : 2013.05.01
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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.

입원력이나 뚜렷한 병원접촉이 없던 환자에서 발생하는 지역사회획득 메티실린 내성 황색포도구균(CA-MRSA) 감염의 중요성이 최근 대두되고 있다. CA-MRSA는 병원획득 MRSA와 다른 유전형과 항생제 감수성을 보인다. CA-MRSA는 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.

Keywords

References

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