A case of tricuspid valve endocarditis with septic pneumonia caused by methicillin-resistant Staphylococcus aureus in a healthy woman |
Pyoeng Gyun Park, Seung Ji Kang, Kyung-Hwa Park, Young-Sun Jung, Sook-In Jung, Jong Hee Shin, Kwan Soo Ko |
|
건강한 사람에서 메티실린 내성 황색포도알균에 의한 삼첨판 심내막염 |
박평균, 강승지, 박경화, 정영선, 정숙인, 신종희, 고관수 |
|
|
|
Abstract |
Tricuspid valve endocarditis accounts for 5~10% of all cases of infective endocarditis. It commonly occurs in intravenous drug
abusers, immunocompromised hosts, and patients with intravenous catheters, burns, or genital sepsis. Right-sided infective endocarditis
without a predisposing factor is very rare. We experienced a case of tricuspid valve endocarditis with septic pneumonia
caused by methicillin-resistant Staphylococcus aureus in an otherwise healthy 26-year-old female with no underlying cardiac
disease. The diagnosis was delayed because pulmonary manifestations were predominant. The staphylococcal cassette chromosome
mec typing and multilocus sequence typing revealed ST72-MRSA IVA without the Panton-Valentine leukocidin gene clone,
which is the most common form of community-associated methicillin-resistant S. aureus in Korea. (Korean J Med 76:S199-S203,
2009) |
Key Words:
Tricuspid valve; Endocarditis; Methicillin-resistant Staphylococcus aureus |
|