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Panton-Valentine leukocidin positive Staphylococcus aureus infection in childhood: a case report

Arzu Karlı1, Nurşen Belet, Keramettin Yanık

  • 1Division of Pediatric Infectious Diseases, Department of Pediatrics, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey. drarzukarli@yahoo.com.

The Turkish Journal of Pediatrics
|October 14, 2016
PubMed

Insights

Panton-Valentine leukocidin-positive Staphylococcus aureus caused a gluteal abscess and lung lesions in a teen. This case highlights PVL-producing MSSA

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pulmonology

Background:

  • Staphylococcus aureus is a frequent cause of musculoskeletal infections.
  • Panton-Valentine leukocidin (PVL) is a key S. aureus virulence factor.
  • PVL-producing S. aureus is linked to severe soft tissue and lung infections.

Observation:

  • A 13-year-old boy presented with hip pain and fever.
  • He was diagnosed with a gluteal abscess.
  • Incidental discovery of multiple cavitary pulmonary lesions was noted.

Findings:

  • The gluteal abscess culture yielded methicillin-susceptible S. aureus (MSSA).
  • The MSSA strain was confirmed to be PVL-producing.
  • The patient's clinical course and literature review are presented.

Implications:

  • This case underscores the potential for PVL-producing MSSA to cause severe, disseminated infections.
  • Highlights the importance of considering PVL status in S. aureus musculoskeletal infections.
  • Suggests PVL-producing S. aureus as a differential diagnosis for cavitary pulmonary lesions in pediatric patients.

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