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- W2029973316 abstract "No AccessJournal of UrologyAdult urology1 Mar 2007Community Associated Methicillin Resistant Staphylococcus Aureus Causing Fournier’s Gangrene and Genital Infections Carmin M. Kalorin and Ellis H. Tobin Carmin M. KalorinCarmin M. Kalorin More articles by this author and Ellis H. TobinEllis H. Tobin More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2006.10.041AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We identified an emerging infectious disease of the genitoperineum caused by community associated, methicillin resistant Staphylococcus aureus. Materials and Methods: We report our experience with severe genital infections caused by community associated, methicillin resistant S. aureus occurring in 3 individuals who lacked any of the risk factors associated with traditional methicillin resistant S. aureus infection. Two cases were limited to scrotal abscesses that required only incision and drainage plus antimicrobial therapy. To our knowledge the third case represents the first and only reported case to date of Fournier’s gangrene caused by community associated, methicillin resistant S. aureus. Results: The prevalence of community associated, methicillin resistant S. aureus complicated skin and skin structure infections is increasing throughout the United States and other countries. Community associated, methicillin resistant S. aureus contains unique virulence factors but retains sensitivity to various nonβ-lactam antibiotics. Historical risk factors associated with methicillin resistant S. aureus appear not to apply to infections associated with community associated, methicillin resistant S. aureus. Infections due to the latter cause have been identified in healthy individuals of all ages, races and ethnicities. Surgical and antimicrobial approaches to management are presented. Conclusions: Community associated, methicillin resistant S. aureus infections of the genitoperineum are likely to increase in incidence, necessitating heightened awareness on the part of the urologist. References 1 : Are the epidemiology and microbiology of methicillin-resistant Staphylococcus aureus changing?. JAMA1998; 279: 623. Google Scholar 2 : Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections. Ann Intern Med2006; 144: 309. Google Scholar 3 : Community-associated MRSA—resistance and virulence converge. N Engl J Med2005; 352: 1485. Google Scholar 4 : The growing menace of community-acquired methicillin-resistant Staphylococcus aureus. Ann Intern Med2006; 144: 368. Google Scholar 5 : Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors. Clin Infect Dis1999; 29: 797. 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J Clin Microbiol2005; 43: 5992. Google Scholar 18 : The significance of nasal carriage of Staphylococcus aureus and the incidence of postoperative wound infection. J Hosp Infect1995; 31: 13. Google Scholar 19 : A U. S. population-based survey of Staphylococcus aureus colonization. Ann Intern Med2006; 144: 318. Google Scholar 20 : Recurring methicillin-resistant Staphylococcus aureus infections in a football team. Emerg Infect Dis2005; 11: 526. Google Scholar 21 : Failure of clindamycin treatment of methicillin-resistant Staphylococcus aureus expressing inducible clindamycin resistance in vitro. Clin Infect Dis2003; 37: 1257. Google Scholar 22 : Staphylococcus aureus: a guide for the perplexed: The differences between community-acquired and health care-associated MRSA explained. Med J Aust2006; 184: 374. Google Scholar 23 : Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis2003; 37: 1313. Google Scholar Albany Medical Center, Albany, New York© 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byCastillejo Becerra C, Jaeger C, Rose J, Beecroft N, Shah N, Posid T, Jenkins L and Baradaran N (2020) Microorganisms and Antibiogram Patterns in Fournier’s Gangrene: Contemporary Experience from a Single Tertiary Care CenterJournal of Urology, VOL. 204, NO. 6, (1249-1255), Online publication date: 1-Dec-2020.Alt A, Routh J, Ashley R, Boyce T and Kramer S (2008) Superficial Genitourinary Abscesses in Children: Emergence of Methicillin Resistant Staphylococcus AureusJournal of Urology, VOL. 180, NO. 4, (1472-1475), Online publication date: 1-Oct-2008.Koski M, DeMarco R, Brock J, Pope J, Adams M and Thomas J (2008) Community Associated Methicillin Resistant Staphylococcal Infections in a Pediatric Urology PracticeJournal of Urology, VOL. 179, NO. 3, (1098-1101), Online publication date: 1-Mar-2008. Volume 177Issue 3March 2007Page: 967-971 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsFournier gangrenefasciitisnecrotizingtestesStaphylococcus aureusscrotumAcknowledgmentsDr. John W. Miller assisted with this report.MetricsAuthor Information Carmin M. Kalorin More articles by this author Ellis H. Tobin More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W2029973316 title "Community Associated Methicillin Resistant Staphylococcus Aureus Causing Fournier’s Gangrene and Genital Infections" @default.
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