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Singapore Med J. 2006 Jun;47(6):546-8.

Fatal bacteraemic pneumonia due to community-acquired methicillin-resistant Staphylococcus aureus.

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Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074.


The recent worldwide surge in the incidence of fatal pneumonia caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has generated renewed interest in this well-known organism. We describe two cases of fulminant bacteraemic pneumonia due to CA-MRSA at the National University Hospital in Singapore and provide further epidemiological descriptors of this potentially-deadly disease. The first patient was an 83-year-old woman while the second was a 71-year-old man, none of whom had risk factors for hospital-acquired MRSA colonisation. Clinicians should be aware of the possibility of severe community-acquired pneumonia caused by this organism. Adequate empirical antimicrobial coverage for this important pathogen should be considered.

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