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Volume 47, Number 6, December 2015

Community-associated methicillin-resistant Staphylococcus aureus necrotizing pneumonia in a healthy neonate 

Wai Ho Lim, Reyin Lien, Yhu-Chering Huang, Wen Jen Lee, Jing Yao Lai

Received: February 10, 2012    Revised: March 21, 2012    Accepted: July 2, 2012   


Corresponding author:

* Corresponding author. Division of Neonatology, Department of
Pediatrics, Chang Gung Children’s Hospital, No. 5, Fu-Shing Street,
Kweishan, Taoyuan 33305, Taiwan.
E-mail address: (R. Lien). 


Background and purpose: 

The number of cases of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) pneumonia has increased since the late 1990s, with skin and soft tissue infections predominant among neonates. Herein, we present a rare case of CA-MRSA necrotizing pneumonia with empyema following respiratory syncytial virus (RSV) infection in a healthy neonate. Despite prompt vancomycin treatment, the disease worsened and finally we had to perform pneumonectomy. This case highlights the possibility of emerging CA-MRSA-related invasive disease among neonates. 


Key words:

Community-associated methicillin-resistant Staphylococcus aureus, Neonate, Pneumonia