title: Atypical pneumonia linked to community-acquired staphylococcus aureus cross-transmission in the nursery.
abstract: We report the observation of a necrotizing pneumonia due to methicillin-resistant Staphylococcus aureus harboring the Panton-Valentine leukocidin-encoding gene in a previously healthy neonate, with favorable clinical outcome in spite of extensive radiologic lesions. The case was linked to a cluster of 3 neonates colonized by Panton-Valentine leukocidin-producing, methicillin-resistant S. aureus through cross-transmission in the nursery, underlining the need to comply with standard infection control precautions in the maternity ward.
authors.affiliation: Department of Pediatric Emergency and Post Emergency, University Hospital of Montpellier, Montpellier, France. a-filleron@chu-montpellier.fr
authors.forename: Anne
authors.initials: A
authors.lastname: Filleron
authors.forename: Anne
authors.initials: A
authors.lastname: Lotthé
authors.forename: Emilie
authors.initials: E
authors.lastname: Jourdes
authors.forename: Eric
authors.initials: E
authors.lastname: Jeziorski
authors.forename: Olivier
authors.initials: O
authors.lastname: Prodhomme
authors.forename: Marie-Noëlle
authors.initials: MN
authors.lastname: Didelot
authors.forename: Sylvie
authors.initials: S
authors.lastname: Parer
authors.forename: Hélène
authors.initials: H
authors.lastname: Marchandin
authors.forename: Gilles
authors.initials: G
authors.lastname: Cambonie
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001427:Bacterial Toxins / Q000235:genetics; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission*; D003428:Cross Infection / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission*; D005098:Exotoxins / Q000235:genetics; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D017053:Infection Control / Q000379:methods; D007956:Leukocidins / Q000235:genetics; D016106:Methicillin Resistance; D055624:Methicillin-Resistant Staphylococcus aureus / Q000235:genetics / Q000302:isolation & purification* / Q000472:pathogenicity; D008826:Microbial Sensitivity Tests; D009725:Nurseries, Hospital; D011023:Pneumonia, Staphylococcal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission*; D036542:Tomography, Spiral Computed
chemical_list: D000900:Anti-Bacterial Agents; D001427:Bacterial Toxins; D005098:Exotoxins; D007956:Leukocidins; C078284:Panton-Valentine leukocidin