Date: 16 Sep 2005

Panton–Valentine leukocidin-positive methicillin-resistant Staphylococcus aureus in Germany associated with travel or foreign family origin

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Until recently, Panton–Valentine leukocidin (PVL)-positive methicillin-resistant Staphylococcus aureus (MRSA) strains were considered to be rare in Germany [1, 2]. However, data collected retrospectively (122 cases in the period 1995–2003) and prospectively (127 cases in 2004) for the geographical region of southeast Bavaria indicate that PVL-positive MRSA might be more common than previously acknowledged [3]. In the study presented here, we evaluated 122 patients in whom PVL-positive MRSA was detected in 2004. Nineteen of these patients had either traveled to (or originated from) foreign countries (predominantly in the Middle East) prior to the onset of symptoms or they belonged to a family originating from a Mediterranean country.

The emergence of PVL-positive MRSA has been noted worldwide in patients without common risk factors for nosocomial multidrug-resistant pathogens [4, 5]. Patients typically present with a history of multiple recurrent deep-seated abscesses, often without an o ...