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Published on: February 23, 2014
A Rare Case of Panton-Valentine Leukocidin-Related Cervical Empyema
Hung Le1, Dung Le Thuy Nguyen2, My Nu Tra Ton3
1Department of Neurosurgery, Vinmec Central Park International hospital, Vinmec Healthcare System, Ho Chi Minh city, Vietnam.
Abstract:
Staphylococcus aureus is found in the normal skin and mucosa of approximately 30% of healthy populations and is the most common pathogen in human disease associated with bacteria. They are divided into methicillin-sensitive S . aureus (MSSA) and methicillin-resistant S. aureus (MRSA). The S. aureus strains carrying the Panton-Valentine leukocidin genes (SA-PVL) were initially believed to belong to the MRSA group; however, recent reports showed they also belonged to the MSSA group (MSSA-PVL). SA-PVL is common in skin and soft-tissue infections but rare in musculoskeletal infections, especially in spondylodiscitis. We are reporting a case suffering from cervical spondylodiscitis and epidural abscess associated with MSSA carrying the Panton-Valentine leukocidin genes.
Insights
Methicillin-sensitive Staphylococcus aureus (MSSA) carrying Panton-Valentine leukocidin genes (SA-PVL) can cause cervical spondylodiscitis and epidural abscesses. This case highlights MSSA-PVL as a potential pathogen in rare musculoskeletal infections.
Area of Science:
- Infectious Diseases
- Bacteriology
- Clinical Case Study
Background:
- Staphylococcus aureus is a common human pathogen, divided into methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) strains.
- Panton-Valentine leukocidin (PVL) genes are typically associated with MRSA but can also be found in MSSA (MSSA-PVL).
- SA-PVL is frequently implicated in skin and soft-tissue infections but rarely in musculoskeletal infections like spondylodiscitis.
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