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KMID : 1144320130450040441
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감염과 화학요법
2013 Volume.45 No. 4 p.441 ~ p.445
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A Case of Acute Pyogenic Sacroiliitis and Bacteremia Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus
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Kim Su-Young
Baek Hae-Lim
Jang Seung-Jun
Moon Song-Mi
Cho Yong-Kyun
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Abstract
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Pyogenic sacroiliitis is a rare osteoarticular infection, occurring most frequently in children and young adults. Diagnosis of the disease is challenging because of a general lack of awareness of the disease and its nonspecific signs and symptoms. Staphylococcus aureus is the most common causative bacteria in pyogenic sacroiliitis. Methicillin-resistant S. aureus (MRSA) has typically been considered a hospital-associated pathogen; however, community-acquired (CA)-MRSA infections are becoming increasingly common in Korea. We report the first domestic case of acute pyogenic sacroiliitis with abscess and bacteremia caused by CA-MRSA. The pathogen carried the type IV-A staphylococcal cassette chromosome mec (SCCmec) without the Panton-Valentine leukocidin (PVL) gene, and was identified as sequence type (ST) 72 by multilocus sequence typing.
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KEYWORD
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Community-acquired infections, Methicillin-resistant Staphylococcus aureus, Pyogenic sacroiliitis
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