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Updated: Jun 5, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Diverse virulence of Staphylococcus aureus strains for the conjunctiva
Clare C McCormick1, Armando R Caballero, Charles L Balzli
1Department of Microbiology, University of Mississippi Medical Center, 2500 N. State St., Jackson, MS 39216, USA.
Purpose:
To determine the virulence of Staphylococcus aureus strains in the rabbit conjunctiva.
Methods:
Three strains of methicillin-sensitive S. aureus (8325-4, Newman, and UMCR1) and two strains of methicillin-resistant S. aureus (70490 and MW2) were analyzed. Rabbit bulbar conjunctivas (n ≥ 6 per group) were injected with 10(5) colony forming units (CFU) in 10 µl. Eyes were photographed and analyzed for pathology at 20 hr postinfection (PI) using slit lamp examination (SLE) to measure five parameters on a scale from 0 (normal) to 4 (severe): injection, chemosis, iritis, corneal edema, and pinpoint conjunctival hemorrhages. The parameter grades were added to produce a SLE score. Bacteria were enumerated and histopathological analysis was done at 20 hr PI. Myeloperoxidase assays were performed on conjunctival swabs (n ≥ 3 per strain) at 0 and 20 hr PI.
Results:
Conjunctivas injected with 8325-4 or Newman had SLE scores of 1.67 ± 0.12 and 0.81 ± 0.16, respectively. Strain 70490 produced an average SLE score of 2.94 ± 0.47, whereas MW2 produced a score of 5.04 ± 0.73. UMCR1 produced severe conjunctivitis having a SLE score of 13.25 ± 0.80. Only strain UMCR1 grew in the conjunctiva showing a 2.7 log increase in CFU; all other strains remained near the inoculated numbers or decreased as much as 1.85 logs. Myeloperoxidase activity was greatest in the tear film of UMCR1 infected eyes with over one million PMN present at 20 hr PI.
Conclusions:
Only one S. aureus strain, UMCR1, was able to cause a reproducible severe conjunctivitis. This conjunctival infection could be used to test new antimicrobials and to help understand the pathogenesis of conjunctivitis, especially in terms of overcoming the host defenses.
Insights
Only the Staphylococcus aureus strain UMCR1 caused severe conjunctivitis in rabbits. This finding is crucial for developing new antimicrobials and understanding conjunctivitis pathogenesis.
Area of Science:
- Ophthalmology
- Microbiology
- Infectious Diseases
Background:
- Staphylococcus aureus is a common cause of bacterial eye infections.
- Understanding the virulence factors of S. aureus is essential for treating ocular infections.
Purpose of the Study:
- To evaluate the virulence of different Staphylococcus aureus strains in a rabbit conjunctival infection model.
- To identify strains capable of causing reproducible conjunctivitis for further research.
Main Methods:
- Five S. aureus strains (3 methicillin-sensitive, 2 methicillin-resistant) were inoculated into rabbit conjunctivas.
- Ocular pathology was assessed using slit lamp examination (SLE) scores at 20 hours postinfection.
- Bacterial load and myeloperoxidase activity were quantified to assess infection severity.
Main Results:
- The S. aureus strain UMCR1 induced severe conjunctivitis with a high SLE score (13.25 ± 0.80).
- Only UMCR1 demonstrated significant growth in the conjunctiva, with a 2.7 log increase in colony-forming units (CFU).
- UMCR1 infection led to the highest myeloperoxidase activity, indicating a strong inflammatory response.
Conclusions:
- Staphylococcus aureus strain UMCR1 is a potent cause of severe, reproducible conjunctivitis in rabbits.
- This model is valuable for testing novel antimicrobial agents against S. aureus ocular infections.
- Further studies can utilize this model to elucidate mechanisms of host defense evasion in conjunctivitis.
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