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Volume 25, Number 1—January 2019
Dispatch

Surgical Site Infections Caused by Highly Virulent Methicillin-Resistant Staphylococcus aureus Sequence Type 398, China

Lu Sun1, Yan Chen1, Danying Wang, Haiping Wang, Dandan Wu, Keren Shi, Ping Yan, and Yunsong YuComments to Author 
Author affiliations: Sir Run Run Shaw Hospital of Zhejiang University School of Medicine, Hangzhou, China (L. Sun, Y. Chen, D. Wang, H. Wang, D. Wu, K. Shi, Y. Yu); Fuyang Hospital of Traumatology and Orthopedics of Traditional Chinese Medicine, Hangzhou (P. Yan); Key Laboratory for Microbial Technology and Bioinformatics of Zhejiang Province, Hangzhou (Y. Yu)

Main Article

Table

Characteristics of methicillin-resistant Staphylococcus aureus ST398 isolates from 4 patients, China*

Characteristic Isolate
FY20 FY22 SR389 SR411
Patient age, y/sex 42/F 52/M 32/F 21/F
Admission diagnosis Right tibial plateau comminuted fracture Right tibial plateau comminuted fracture Left neck mass Lower extremity nodules with ulceration
Infection type SSI SSI SSTI SSTI
SCCmec type V V V V
spa type t034 t034 t034 t1255
Panton–Valentine leukocidin – – – –
Resistance phenotype PEN, OXA, CLI, ERY PEN, OXA PEN, OXA PEN, OXA, CLI, ERY
Resistance genes mecA, blaZ, ermC mecA, blaZ mecA, blaZ mecA, blaZ, ermC
Virulence factors aur, sak, scn, hlb, hlgA, hlgB, hlgC aur, sak, scn, hlb, hlgA, hlgB, hlgC aur, sak, scn, hlb, hlgA, hlgB, hlgC aur, sak, scn, hlb, hlgA, hlgB, hlgC

*aur, aureolysin; CLI, clindamycin; ERY, erythromycin; hlb, β-hemolysin; hlgA, gamma-hemolysin component; OXA, oxacillin; PEN, penicillin; sak, staphylokinase; scn, staphylococcal complement inhibitor; SCC, staphylococcal cassette chromosome; SSI, surgical site infection; SSTI, skin and soft tissue infection; –, negative.

Main Article

1These authors contributed equally to this article.

Page created: December 17, 2018
Page updated: December 17, 2018
Page reviewed: December 17, 2018
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