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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181758e69
Case Reports

Panton-Valentine Leukocidin-Positive Methicillin-Resistant Staphylococcus aureus Necrotizing Pneumonia Presenting as Fever of Unknown Origin

Gonzalez, Blanca E. MD*; Williams, Suzanne CPNP-AC*; Rios, Yanet MD†; Faverio, Luis MD‡; Churchill, Robin B. MD*

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Abstract

Panton-Valentine leukocidin-producing strains of Staphylococcus aureus have been linked to rapidly progressive severe necrotizing pneumonia with low survival rates. We describe a previously healthy child who presented in a nontoxic fashion with prolonged fever and a radiographic picture of pulmonary nodules caused by a Panton-Valentine leukocidin-producing S. aureus. Complete resolution was achieved after 4 weeks of antimicrobial therapy.

© 2009 Lippincott Williams & Wilkins, Inc.