Severe Community-Acquired Pneumonia Caused by Methicillin-Resistant Staphylococcus aureus

抗藥性金黃色葡萄球菌導致之嚴重社區型肺炎

蔡仲晏(Chung-Yen Tsai) ； 林明賢(Ming-Hsien Lin) ； 吳杰亮(Chieh-Liang Wu) ； 詹明澄(Ming-Cheng Chan)

《胸腔醫學》 29卷1期 (2014/02) Pp. 8-16

摘要

抗藥性金黃色葡萄球菌是院內感染最常見的致病菌之一，但在社區型感染中是很少見的。雖然其中大部分是皮膚及軟組織感染，抗藥性金黃色葡萄球菌也可以造成社區型肺炎，並且合併高致死率。我們報告一位因抗藥性金黃色葡萄球菌引起嚴重社區型肺炎並導致死亡的案例。經由文獻審查，我們比較社區型和院內型抗藥性金黃色葡萄球菌，並提供一個治療上抗生素選擇的新想法。

關鍵字

抗藥性金黃色葡萄球菌 ； 社區型肺炎

並列摘要

Methicillin-resistant Staphylococcus aureus is one of the most common pathogens found in healthcare or hospital-associated infections, but it is uncommon in community-acquired infections. Although most are skin and soft tissue infections, methicillin-resistant Staphylococcus aureus infection may present as community-acquired pneumonia, with a high mortality rate reported. We present a case of community-acquired pneumonia due to methicillin-resistant Staphylococcus aureus with a rapidly progressing clinical course. In the literature review, we compare cases of community-acquired and hospital-acquired methicillin-resistant Staphylococcus aureus, and suggest treatment options.

並列關鍵字

methicillin-resistant Staphylococcus aureus ； community-acquired pneumonia