A Case of Acute Pyogenic Sacroiliitis and Bacteremia Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus.
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.
Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Suyoung
S
Kim
Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Kang Lock
KL
Lee
Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Hae Lim
HL
Baek
Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Seung Jun
SJ
Jang
Division of Infectious Disease, Gachon University Gil Medical Center, Incheon, Korea.
Song Mi
SM
Moon
Division of Infectious Disease, Gachon University Gil Medical Center, Incheon, Korea.
Yong Kyun
YK
Cho
Community-acquired infections; Methicillin-resistant Staphylococcus aureus; Pyogenic sacroiliitis