Bone and joint infections with Staphylococcus aureus strains producing Panton-Valentine Leukocidin in French Guiana

Medicine (Baltimore). 2019 Jul;98(27):e16015. doi: 10.1097/MD.0000000000016015.

Abstract

The aim of this study was to describe the clinical features of bone and joint infections (BJI) due to Panton-Valentine Leukocidin producing (PVL+) Staphylococcus aureus (SA) in French Guiana.A multicenter study that consists of a retrospective charts review of children admitted for PVL+ S. aureus BJI between January 2010 and December 2015.Six patients with SA-PVL BJI were identified during the study period: 2 osteomyelitis, 1 septic arthritis, and 3 disseminated BJI. The median age was 11 years old (4-14 years), and fever lasted for 3.2 days (2-5 days) before diagnosis. An open skin wound preceded the BJI in 5/6 patients. One patient presented with a septic thrombophlebitis of the femoral-popliteal vein on admission. Methicillin-susceptible Staphylococcus aureus (MSSA) were identified for all patients. Three patients had complications: 2 cases of necrotizing pneumonia and 2 pericarditis, with 1 death caused by cardiac tamponade.SA-PVL BJI was not frequent. Strains were susceptible to methicillin, but responsible of severe BJI. Early diagnosis and a multidisciplinary management of these infections are essential to prevent further complications.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / microbiology*
  • Arthritis, Infectious / therapy
  • Bacterial Toxins / analysis*
  • C-Reactive Protein / analysis
  • Child
  • Child, Preschool
  • Exotoxins / analysis*
  • French Guiana
  • Humans
  • Leukocidins / analysis*
  • Methicillin-Resistant Staphylococcus aureus / isolation & purification
  • Osteomyelitis / microbiology*
  • Osteomyelitis / therapy
  • Retrospective Studies
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / therapy

Substances

  • Anti-Bacterial Agents
  • Bacterial Toxins
  • Exotoxins
  • Leukocidins
  • Panton-Valentine leukocidin
  • C-Reactive Protein