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Severe childhood pneumonitis caused by the Queensland strain of community-acquired methicillin-resistant Staphylococcus aureus

Bradley T Martin, Pamela Palasanthiran, Iain B Gosbell, Thelma Barbagiannakos, Emma J Best and Richard L Henry
Med J Aust 2005; 182 (5): . || doi: 10.5694/j.1326-5377.2005.tb06678.x
Published online: 7 March 2005

Bradley T Martin,* Pamela Palasanthiran, Iain B Gosbell, Thelma Barbagiannakos,§ Emma J Best,¶ Richard L Henry**


  • 1 Department of Respiratory Medicine, Children’s Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145)
  • 3 Sydney Children’s Hospital, Sydney, NSW
  • 5 SWAPS Staphylococcal Reference Facility, South Western Area Pathology Service, Sydney, NSW
  • 6 Faculty of Medicine, University of New South Wales, Sydney, NSW.


Correspondence: bradleym@chw.edu.au

Acknowledgements: 

We thank Dr Michael Freelander and Dr Andrew Numa for their assistance in the management of this case; SEALS Microbiology for provision of isolates; Alison Vickery and Yvonne Kwok (SWAPS Staphylococcal Reference Facility) for performing phage typing and polymerase chain reaction for Panton–Valentine leukocidin. Dr Bradley Martin and Dr Emma Best are supported by the Sydney Children’s Hospital Foundation.

  • 1. Gillet Y, Issartel B, Vanhems P, et al. Association between Staphylococcus aureus strains carrying gene for Panton-Valentine leukocidin and highly lethal necrotising pneumonia in young immunocompetent patients. Lancet 2002; 359: 753-759.
  • 2. Nimmo GR, Playford EG. Community-acquired MRSA bacteraemia: four additional cases including one associated with severe pneumonia [letter]. Med J Aust 2003; 178: 245. <MJA full text>
  • 3. Peleg AY, Munckhof WJ. Fatal necrotising pneumonia due to community-acquired methicillin-resistant Staphylococcus aureus (MRSA) [letter]. Med J Aust 2004; 181: 228-229. <MJA full text>
  • 4. Gosbell IB, Mercer JL, Neville SA, et al. Non-multiresistant and multiresistant methicillin-resistant Staphylococcus aureus in community-acquired infections. Med J Aust 2001; 174: 627-630.
  • 5. Marcinak JF, Frank AL. Treatment of community-acquired methicillin-resistant Staphylococcus aureus in children. Curr Opin Infect Dis 2003; 16: 265-269.
  • 6. Wunderink RG, Rello J, Cammarata SK, et al. Linezolid vs vancomycin. Analysis of two double-blind studies of patients with methicillin-resistant Staphylococcus aureus nosocomial pneumonia. Chest 2003; 124: 1789-1797.

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