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Updated: May 24, 2026

Quantifying the Cytotoxicity of Staphylococcus aureus Against Human Polymorphonuclear Leukocytes
Published on: January 3, 2020
Post-influenza pneumonia caused by the USA300 community-associated methicillin-resistant Staphylococcus aureus in
Kyung Mok Sohn1, Doo Ryeon Chung, Jin Yang Baek
1Division of Infectious Diseases, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract:
Panton-Valentine leukocidin (PVL)-positive USA300 clone has been the most successful community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) clone spreading in North America. In contrast, PVL-negative ST72-CA-MRSA has been predominant in Korea, and there has been no report of infections by the USA300 strain except only one case report of perianal infection. Here, we describe the first case of pneumonia caused by the USA300 strain following pandemic influenza A (H1N1) in Korea. A 50-year-old man was admitted with fever and cough and chest radiograph showed pneumonic consolidation at the right lower lung zone. He received a ventilator support because of respiratory failure. PCR for pandemic influenza A (H1N1) in nasopharyngeal swab was positive, and culture of sputum and endotracheal aspirate grew MRSA. Typing of the isolate revealed that it was PVL-positive, ST 8-MRSA-SCCmec type IV. The analysis of the PFGE patterns showed that this isolate was the same pulsotype as the USA300 strain.
Insights
The USA300 community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) strain caused pneumonia in Korea. This marks the first reported case of USA300 pneumonia following pandemic influenza A (H1N1).
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- The USA300 clone is a successful community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) strain prevalent in North America.
- PVL-negative ST72-CA-MRSA has been predominant in Korea, with limited reports of USA300 infections.
Observation:
- A 50-year-old man in Korea developed pneumonia after influenza A (H1N1) infection.
- The patient required ventilator support due to respiratory failure.
Findings:
- Sputum and endotracheal aspirate cultures identified MRSA.
- Molecular typing confirmed the isolate as PVL-positive, ST 8-MRSA-SCCmec type IV, matching the USA300 strain.
- Pulsed-field gel electrophoresis (PFGE) patterns confirmed the isolate's identity as USA300.
Implications:
- This case highlights the emergence of the USA300 CA-MRSA strain in Korea, causing pneumonia post-influenza A (H1N1).
- It underscores the need for enhanced surveillance of CA-MRSA infections, particularly in the context of viral respiratory infections.
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