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Kino H, Suzuki H, Yamaguchi T, Notake S, Oishi T, Ito Y, Nakamura K, Miyazaki H, Matsumoto T, Uemura K, Matsumura A. Central nervous system infection caused by vancomycin-intermediate Staphylococcus aureus (SCCmec type IV, ST8). J Infect Chemother 2014; 20:643-6. [PMID: 25012468 DOI: 10.1016/j.jiac.2014.06.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Revised: 05/14/2014] [Accepted: 06/12/2014] [Indexed: 11/26/2022]
Abstract
A 77-year-old Japanese man with a history of surgical treatment of chronic subdural hemorrhage was hospitalized for drainage of a subdural abscess and brain abscess in the right occipital area. Pus obtained from both the subdural abscess and brain abscess grew vancomycin-intermediate Staphylococcus aureus (VISA) (minimum inhibitory concentration = 4 μg/mL), which was confirmed by population analysis. The SCCmec type and sequence type were subsequently identified as IV and ST8, respectively. The VISA strains were both sensitive to levofloxacin, clindamycin, minocycline, and linezolid. The patient was successfully treated with linezolid and discharged on day 51 after admission. We herein describe the first reported case of a brain abscess and subdural abscess caused by VISA in Japan.
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Affiliation(s)
- Hiroyoshi Kino
- Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan
| | - Hiromichi Suzuki
- Division of Infectious Diseases, Department of Medicine, Tsukuba Medical Center Hospital, Ibaraki, Japan.
| | - Tetsuo Yamaguchi
- Department of Microbiology, Tokyo Medical University, Tokyo, Japan
| | - Shigeyuki Notake
- Department of Clinical Microbiology, Miroku Medical Laboratory Inc., Nagano, Japan
| | - Tsuyoshi Oishi
- Department of Infectious Diseases, Ibaraki Medical Center, Tokyo Medical University, Tokyo, Japan
| | - Yoshiro Ito
- Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan
| | - Kazuhiro Nakamura
- Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan
| | - Haruko Miyazaki
- Department of Microbiology, Tokyo Medical University, Tokyo, Japan
| | | | - Kazuya Uemura
- Department of Neurosurgery, Tsukuba Medical Center Hospital, Ibaraki, Japan
| | - Akira Matsumura
- Department of Neurosurgery, University of Tsukuba Hospital, Ibaraki, Japan
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