Cholera-like diarrhea and shock associated with community-acquired methicillin-resistant Staphylococcus aureus (USA400 clone) pneumonia.
A 14-year-old girl presented with florid watery diarrhea, vomiting and hypotension without respiratory prodrome. Shock, multiorgan system failure and death rapidly ensued. Influenza A was detected from her nasopharynx and CA-MRSA (USA400), positive for pvl, mecA, sea, sec and seh genes was cultured from a deep tracheal aspirate.
Agwu
Allison
A
Division of Pediatric Infectious Disease, Johns Hopkins University School of Medicine, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room w5041, Baltimore, MD 21205, USA.
Brady
Ken M
KM
Ross
Tracy
T
Carroll
Karen C
KC
Halsey
Neal A
NA
D000293:Adolescent; D017714:Community-Acquired Infections; D003967:Diarrhea / Q000150:complications* / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016106:Methicillin Resistance; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000382:microbiology; D012769:Shock / Q000150:complications* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects*