Abstract
Reported here is what is believed to be the first case of community-acquired pneumonia caused by a Panton–Valentine leukocidin-producing strain of Staphylococcus aureus in Spain. Although lung infections caused by S. aureus strains carrying this powerful leukocidin gene are associated with necrotizing pneumonia and high mortality, the previously healthy 28-year-old male reported here experienced a good clinical course and recovery. It is thought that the hematogenous origin of the infection, the patient’s lack of any previous respiratory viral infection and prompt initiation of therapy may explain the satisfactory evolution in this case.
Similar content being viewed by others
References
Couppié P, Prévost G (1997) Les leucotoxines staphylococciques. Ann Dermatol Venereol 124:740–748
Prévost G, Cribier B, Couppié P, Petiau P, Supersac G, Finck-Barbançon V, Monteil H, Piémont Y (1995) Panton–Valentine leucocidin and gamma-hemolysin from Staphylococcus aureus ATCC 49,775 are encoded by distinct genetic loci and have different biological activities. Infect Immun 63:4121–4129
Von Eiff C, Friedrich AW, Peters G, Becker K (2004) Prevalence of genes encoding for members of the staphylococcal leukotoxin family among clinical isolates of Staphylococcus aureus. Diagn Microbiol Infect Dis 49:157–162
Lina G, Piémont Y, Godail-Gamot F, Bes M, Peter MO, Gauduchon V, Vandenensch F, Etienne J (1999) Involvement of Panton–Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 29:1128–1132
Miller LG, Perdreau-Remington F, Rieg G, Mehdi S, Perlroth J, Bayer AS, Tang AW, Phung TO, Spellberg B (2005) Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med 352:1445–1453
Naimi TS, LeDell KH, Como-Sabetti K, Borchardt SM, Boxrud DJ, Etienne J, Johnson SK, Vandenesch F, Fridkin S, O’Boyle C, Danila RN, Lynfield R (2003) Comparison of community- and health care-associated methicillin-resistant Staphylococcus aureus infection. JAMA 290:2976–2984
Gillet Y, Issartel B, Vanhems P, Fournet JC, Lina G, Bes M, Vandenesch F, Piémont Y, Brousse N, Floret D, Etienne J (2002) Association between Staphylococcus aureus strains carrying gene for Panton–Valentine leukocidin and highly lethal necrotising pneumonia in young immunocompetent patients. Lancet 359:753–759
Murakami K, Minamide W, Wada K, Nakamura E, Teraoka H, Watanabe S (1991) Identification of methicillin-resistant strains of staphylococci by polymerase chain reaction. J Clin Microbiol 29:2240–2244
Jarraud S, Mougel C, Thioulouse J, Lina G, Meugnier H, Forey F, Nesme X, Etienne J, Vandenesch F (2002) Relationships between Staphylococcus aureus genetic background, virulence factors, agr groups (alleles), and human disease. Infect Immun 70:631–641
Vandenesch F, Naimi T, Enright MC, Lina G, Nimmo GR, Heffernan H, Liassine N, Bes M, Greenland T, Reverdy ME, Etienne J (2003) Community-acquired methicillin-resistant Staphylococcus aureus carrying Panton–Valentine leukocidin genes: worldwide emergence. Emerg Infect Dis 9:978–984
Couppié P, Hommel D, Prévost G, Godart MC, Moreau B, Sainte-Marie D, Peneau C, Hulin A, Monteil H, Pradinaud R (1997) Septicémies à Staphylococcus aureus producteurs de leucocidine de Panton–Valentine. 3 observations. Ann Dermatol Venereol 124:684–686
Le Thomas I, Mariani-Kurkdjian P, Collignon A, Gravet A, Clermont O, Brahimi N, Gaudelus J, Aujard Y, Navarro J, Beaufils F, Bingen E (2001) Breast milk transmission of a Panton–Valentine leukocidin-producing Staphylococcus aureus strain causing infantile pneumonia J Clin Microbiol 39:728–729
Miyashita T, Shimamoto Y, Nishiya H, Koshibu Y, Sugiyama H, Ono Y, Satoh T, Haraoka H, Nakano J, Ohta K, Sato T, Morinaga N, Noda M (2002) Destructive pulmonary embolism in a patient with community-acquired staphylococcal bacteremia. J Infect Chemother 8:99–102
Österlund A, Kahlmeter G, Bieber L, Runehagen A, Breider JM (2002) Intrafamilial spread of highly virulent Staphylococcus aureus strains carrying the gene for Panton–Valentine leukocidin. Scand J Infect Dis 34:763–787
Boussaud V, Parrot A, Mayaud C, Wislez M, Antoine M, Picard C, Delisle F, Etienne J, Cadranel J (2003) Life-threatening hemoptysis in adults with community-acquired pneumonia due to Panton–Valentine leukocidin-secreting Staphylococcus aureus. Intensive Care Med 29:1840–1843
van der Flier M, van Dijk NB, Fluit AC, Fleer A, Wolfs TF, van Gestel JP (2003) Fatale pneumonie bij een adolescent door thuis opgelopen meticillineresistente Staphylococcus aureus positief voor Panton–Valentine-leukocidine. Ned Tijdschr Geneeskd 147:1076–1079
Francis JS, Doherty MC, Lopatin U, Johnston CP, Sinha G, Ross T, Cai M, Hansel NN, Perl T, Ticehurst JR, Carroll K, Thomas DL, Nuermberger E, Bartlett JG (2005) Severe community-onset pneumonia in healthy adults caused by methicillin-resistant Staphylococcus aureus carrying the Panton–Valentine leukocidin genes. Clin Infect Dis 40:100–107
Liassine N, Auckenthaler R, Descombes MC, Bes M, Vandenesch F, Etienne J (2004) Community-acquired methicillin-resistant Staphylococcus aureus isolated in Switzerland contains the Panton–Valentine leukocidin or exfoliative toxin genes. J Clin Microbiol 42:825–828
Witte W, Braulke C, Cuny C, Strommenger B, Werner G, Heuck D, Jappe U, Wendt C, Linde HJ, Harmsen D (2005) Emergence of methicillin-resistant Staphylococcus aureus with Panton–Valentine leukocidin genes in central Europe. Eur J Clin Microbiol Infect Dis 24:1–5
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Alonso-Tarrés, C., Villegas, M.L., de Gispert, F.J. et al. Favorable outcome of pneumonia due to Panton–Valentine leukocidin-producing Staphylococcus aureus associated with hematogenous origin and absence of flu-like illness. Eur J Clin Microbiol Infect Dis 24, 756–759 (2005). https://doi.org/10.1007/s10096-005-0029-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10096-005-0029-3