Necrotizing Pneumonia due to Femoral Osteomyelitis Caused by Community-acquired Methicillin-resistant Staphylococcus aureus

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  • Iwanaga Naoki
    Division of Respiratory Medicine, Sasebo City General Hospital, Japan Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Fukuda Yuichi
    Division of Respiratory Medicine, Sasebo City General Hospital, Japan
  • Nakamura Shigeki
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Imamura Yoshifumi
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Miyazaki Taiga
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Izumikawa Koichi
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Kakeya Hiroshi
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Yanagihara Katsunori
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan Department of Laboratory Medicine, Nagasaki University Hospital, Japan
  • Soda Hiroshi
    Division of Respiratory Medicine, Sasebo City General Hospital, Japan
  • Tashiro Takayoshi
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan
  • Kohno Shigeru
    Second Department of Internal Medicine, Nagasaki University Hospital, Japan

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タイトル別名
  • Necrotizing Pneumonia due to Femoral Osteomyelitis Caused by Community-acquired Methicillin-resistant <i>Staphylococcus aureus</i>

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A chest X-ray of a young healthy African-American man with acute respiratory failure revealed bilateral multiple nodular shadows in the lungs, while community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) was detected in blood and sputum cultures. Magnetic resonance imaging showed osteomyelitis of the left thigh, and computed tomography revealed bilateral cavitary lesions in the chest, indicating necrotizing pneumonia with pulmonary embolism caused by osteomyelitis as a result of infection with CA-MRSA. CA-MRSA should be suspected as a causative agent of severe community-acquired pneumonia, even in Japan, among patients who belong to communities at high risk of CA-MRSA infection.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 52 (13), 1531-1536, 2013

    一般社団法人 日本内科学会

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