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Updated: Jun 27, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
[Soft-tissue pyogenic infection in neonates caused by Staphylococcus aureus carrying Panton-Valentine leukocidin
Fang-you Yu1, Cun-li Liu, Xue-qing Zhang
1Department of Clinical Laboratory, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
Objective:
To investigate the pathogen causing soft-tissue pyogenic infection in neonate.
Methods:
The isolates of Staphylococcus aureus were obtained from liquor puris and blood by routine method. The Automated Microbiology Analyzer was used for identification and antimicrobial susceptibility test of the isolates. Panton-Valentine leukocidin (PVL) genes were determined by multiplex PCR in the isolates of Staphylococcus aureus. Multilocus sequence typing (MLST) was used to determine the sequence types (STs) of the isolates. The genotypes of SCCmec were also determined by another multiplex PCR in the isolates of methicillin-resistant Staphylococcus aureus (MRSA).
Results:
In 3 cases of neonate with soft-tissue pyogenic infection, 2 strains of Staphylococcus aureus isolated from liquor puris in 2 cases. 2 strains of Staphylococcus aureus were isolated from liquor puris and blood from another case. All 4 isolates were methicillin-resistant Staphylococcus aureus (MRSA) strains carrying PVL genes. Their SCCmec types were SCCmec IIIA. The STs of 4 isolates were ST88. The antimicrobial-resistance profile of the isolates were the same except erythromycin.
Conclusion:
Soft-tissue pyogenic infection in the 3 neonates was caused by the same clone of MRSA carrying PVL genes.
Insights
A specific clone of methicillin-resistant Staphylococcus aureus (MRSA) carrying Panton-Valentine leukocidin (PVL) genes caused soft-tissue infections in three neonates. This finding highlights the importance of identifying specific MRSA strains in neonatal infections.
Area of Science:
- Medical Microbiology
- Neonatal Infectious Diseases
- Bacterial Pathogenesis
Background:
- Neonatal soft-tissue pyogenic infections require prompt identification of causative pathogens.
- Staphylococcus aureus is a common cause of bacterial infections in neonates.
Observation:
- Four isolates of Staphylococcus aureus were identified from three neonates with soft-tissue pyogenic infections.
- All isolates were methicillin-resistant Staphylococcus aureus (MRSA) and carried Panton-Valentine leukocidin (PVL) genes.
- The MRSA isolates belonged to sequence type 88 (ST88) and carried SCCmec type IIIA.
Findings:
- The study identified a single clone of PVL-positive MRSA (ST88, SCCmec IIIA) as the causative agent in three neonatal soft-tissue pyogenic infections.
- Antimicrobial susceptibility testing revealed consistent resistance patterns among the isolates, with variations noted for erythromycin.
Implications:
- This research underscores the role of specific MRSA clones, particularly PVL-producing strains, in neonatal infections.
- Understanding the genetic characteristics and antimicrobial resistance of these clones is crucial for effective treatment and infection control strategies in neonatal intensive care units.
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