The Nishinihon Journal of Dermatology
Online ISSN : 1880-4047
Print ISSN : 0386-9784
ISSN-L : 0386-9784
Clinical Case Reports
A Case of Pemphigoid Complicated with MRSA Sepsis
Setsuko NISHIJIMAHiromu SOHToshiaki HIGASHIDAYasuo ASADAMakoto HAYAMI
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1992 Volume 54 Issue 1 Pages 16-21

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Abstract
We report a case of pemphigoid complicated with MRSA (methicillin resistant Staphylococcus aureus) sepsis. She was an 87-year-old woman who had been treated by oral and topical corticosteroids. There were six other patients in her ward. MRSA was continually isolated on one of them who had incurable ulcers on both her legs and MSSA (methicillin sensitive Staphylococcus aureus) was isolated on two other patients. We studied the phage typing, coagulase typing and resistant pattern against several antibiotics of all strains of S. aureus isolated from the patients in her ward. We supposed that the MRSA sepsis was a hospital infection, but we could not find any conclusive proof. Today, MRSA among S. aureus isolated from our hospital has reached over 70%. Therefore, MRSA has been suspected as a hospital strain. We have to continue search for the traces of this epidemic. It is extremely important to reduce the rate of MRSA infection in our hospital. In this report we discuss both MRSA infection and hospital epidemics.
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© 1992 by Western Japan Division of JDA
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