title: MRSA as a rare cause of vaginitis.
abstract: We describe a 26-year-old otherwise healthy woman with MRSA vaginitis. Traditional MRSA risk factors were absent and additional screening sites were negative. Patient was treated successfully with oral antibiotics combined with topical lactic acid emulsion. Because her partner appeared to have solitary MRSA carriage on the glans, a suggestion of sexual transmission was made. He was treated successfully with topical mupirocin ointment. Although solitary vaginal MRSA carriage and infection seems to be rare and its clinical impact is yet undefined, clinicians should consider adding the genitourinary tract to traditional screening sites in case of recurrent MRSA infections.
authors.affiliation: Department of Internal Medicine, Amphia Hospital Breda, Molengracht 21, 4818 CK, Breda, The Netherlands. charlottedebree@hotmail.com.
authors.forename: L C J
authors.initials: LC
authors.lastname: de Bree
authors.affiliation: Laboratory for Microbiology and Infection Prevention, Amphia Hospital Breda, Breda, The Netherlands.
authors.forename: M M L
authors.initials: MM
authors.lastname: van Rijen
authors.affiliation: Laboratory for Microbiology and Infection Prevention, Amphia Hospital Breda, Breda, The Netherlands.
authors.forename: H P M
authors.initials: HP
authors.lastname: Coertjens
authors.affiliation: Department of Internal Medicine, Amphia Hospital Breda, Molengracht 21, 4818 CK, Breda, The Netherlands.
authors.forename: P
authors.initials: P
authors.lastname: van Wijngaarden
mesh_terms: D000282:Administration, Intravaginal; D000284:Administration, Oral; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005260:Female; D006801:Humans; D019344:Lactic Acid / Q000008:administration & dosage; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology*; D016896:Treatment Outcome; D014627:Vaginitis / Q000175:diagnosis* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D019344:Lactic Acid
keywords: MRSA; Sexual transmission; Staphylococcus aureus; Vaginitis