Severe MRSA Enterocolitis Caused by a Strain Harboring Enterotoxins D, G, and I

Emerg Infect Dis. 2017 May;23(5):865-867. doi: 10.3201/eid2305.161644.

Abstract

We describe a case of methicillin-resistant Staphylococcus aureus (MRSA) enterocolitis in a healthy adult with previous antibiotic exposure. Colonoscopy revealed diffuse colitis and mild ileitis without ulceration. Stool cultures demonstrated abundant growth of MRSA and absent normal flora. Oral vancomycin treatment was effective and seems to be the consensus choice for therapy.

Keywords: Canada; MRSA; Staphylococcus aureus; bacteria; bacterial infection; drug resistance; enterocolitis; enterotoxins; methicillin-resistant S. aureus; staphylococci.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Biopsy
  • Endoscopy, Gastrointestinal
  • Enterocolitis / diagnosis*
  • Enterocolitis / drug therapy
  • Enterocolitis / microbiology*
  • Enterotoxins* / genetics
  • Gene Expression
  • Humans
  • Intestinal Mucosa / pathology
  • Methicillin-Resistant Staphylococcus aureus* / genetics
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / microbiology*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Enterotoxins