Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is increasing in prevalence among asymptomatic carriers and in cases of paediatric soft-tissue infections alike. CA-MRSA may express virulence factors such as Panton-Valentine leukocidin, which makes soft-tissue and hard-tissue infections due to such organisms challenging to treat. We report a case of osteomyelitis of the proximal tibia in a 10-year-old boy and discuss its management in what is to the authors’ knowledge the first case report of Panton-Valentine leukocidin-positive CA-MRSA osteomyelitis in a child in the UK.
Department of Trauma and Orthopaedic Surgery, Sandwell General Hospital, West Bromwich, UK
Correspondence to Ross O.C. Elledge, BChD(Hons), MBChB(Hons), MFDS, RCPS(Glasg), MRCS, FHEA, 6 Selly Park Road, Selly Park, Birmingham, B29 7PQ West Midlands, UK Tel: +44 121 249 3719; fax: +44 190 576 3333; e-mail: email@example.com