title: Bullous impetigo in children infected with methicillin-resistant Staphylococcus aureus alone or in combination with methicillin-susceptible S. aureus: analysis of genetic characteristics, including assessment of exfoliative toxin gene carriage.
abstract: Among bullous impetigo isolates, exfoliative toxin (ET) gene carriage was found in 61.5% of methicillin-resistant Staphylococcus aureus (MRSA) isolates versus 90.6% of methicillin-susceptible S. aureus (MSSA) isolates. MRSA-only cases were ETB or ETA positive, while MRSA/MSSA coinfection cases were ET negative for MRSA but ETA positive for MSSA. Collagen adhesin may facilitate some MRSA infections.
authors.affiliation: Division of Bacteriology, Department of Infectious Disease Control and International Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Da
authors.initials: D
authors.lastname: Shi
authors.forename: Wataru
authors.initials: W
authors.lastname: Higuchi
authors.forename: Tomomi
authors.initials: T
authors.lastname: Takano
authors.forename: Kohei
authors.initials: K
authors.lastname: Saito
authors.forename: Kyoko
authors.initials: K
authors.lastname: Ozaki
authors.forename: Misao
authors.initials: M
authors.lastname: Takano
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Nitahara
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Yamamoto
mesh_terms: D018829:Adhesins, Bacterial / Q000096:biosynthesis / Q000235:genetics; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005083:Exfoliatins / Q000096:biosynthesis* / Q000235:genetics; D006801:Humans; D007169:Impetigo / Q000382:microbiology*; D007223:Infant; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification*; D037521:Virulence Factors / Q000096:biosynthesis* / Q000235:genetics
chemical_list: D018829:Adhesins, Bacterial; D005083:Exfoliatins; D037521:Virulence Factors; C048165:adhesin, Staphylococcus aureus