Acute epiglottitis caused by community-acquired methicillin-resistant Staphylococcus aureus in a healthy infant

Figures & data

Figure 1 Laryngoscopic findings.

Notes: (A, B) Laryngoscopic images before intubation. Arrows indicate the exudates. (C, D) Laryngoscopic images after extubation.

Table 1 Antimicrobial susceptibility test for the isolated strain

Antibiotic	Minimum inhibitory concentration	Decision
MPIPC	>2	R
ABK	0.5	S
GM	>8	R
CLDM	≤0.12	S
MINO	0.25	S
VCM	1	S
TEIC	1	S
LZD	1	S
ST	≤5	S
LVFX	≤0.12	S

Abbreviations: ABK, arbekacin; CLDM, clindamycin; GM, gentamicin; LVFX, levofloxacin; LZD, linezolid; MINO, minocycline; MPIPC, oxacillin; R, resistant; S, susceptible; ST, sulfamethoxazole–trimethoprim; TEIC, teicoplanin; VCM, vancomycin.

Table 2 Methicillin-resistant Staphylococcus aureus genome analysis

mecA	+
SCCmec	IV
mec gene complex	Class B
ccr gene complex	ccr2
PVL	-
ET	-
TSST-1	+

Abbreviations: ET, exfoliative toxin; PVL, Panton–Valentine leukocidin; SCC, staphylococcal cassette chromosome; TSST-1, toxic shock syndrome toxin-1.