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Background: Using genomic data, we determined the origin of MRSA ST398 isolates responsible for invasive infection in patients with no known livestock contact.
Methods: We sequenced the genome of seven MSSA and four MRSA ST398 isolates from patients with invasive infections between 2013 and 2017, using the Illumina technique. Prophage-associated virulence genes and resistance genes were identified. To determine the origin of the isolates, their genome sequences were included in phylogenetic analysis also encompassing the ST398 genomes available on NCBI.
Results: All isolates carried the φSa3 prophage, but with variations in the immune evasion cluster: type C in MRSA isolates, and type B in MSSA isolates. All MSSA belonged to the type t1451. MRSA strains had the same SCC type IVa (2B) cassette and belonged to types t899, t4132, t1939 and t2922. All MRSA harbored the tetracycline resistance gene, (M). Phylogenetic analysis revealed that MSSA isolates belonged to a cluster of human-associated isolates, while MRSA isolates belonged to a cluster containing livestock-associated MRSA.
Conclusion: We showed that the clinical isolates MRSA and MSSA ST398 have different origins. An acquisition of virulence genes by livestock-associated MRSA isolates allows them to induce an invasive infection in human.
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http://dx.doi.org/10.3390/microorganisms11061446 | DOI Listing |
J Pediatric Infect Dis Soc
September 2025
Infectious Diseases Unit, 3rd Department of Pediatrics, Aristotle University School of Medicine, Hippokration Hospital, Thessaloniki, Greece.
Background: Critically ill pediatric patients admitted to the PICU are highly vulnerable to infections, including invasive fungal diseases and antifungal agents are frequently prescribed. Little is known about antifungal usage in PICUs across Europe.
Methods: A multinational 3-month weekly point-prevalence study for measuring antifungal drug use was organized.
Infect Control Hosp Epidemiol
September 2025
Infection Prevention and Control, Children's Health System of Texas, Dallas, TX, USA.
Background: The utility of routine environmental sampling to monitor the airborne fungal load (AFL) in healthcare settings is uncertain.
Methods: AFL was measured by monthly cultures at a tertiary-care pediatric hospital from November 2018 through October 2023 on eleven units caring for patients at risk for invasive mold infection (IMI). Surveillance for healthcare-associated IMI was conducted for all patients in the healthcare system using locally developed definitions for possible, probable, and definite hospital-onset infections.
J Am Coll Surg
September 2025
Department of Surgery, Boston Medical Center, Chobanian and Avedisian School of Medicine, Boston University, Boston, MA.
Background: Rural populations experience higher colon cancer (CC) mortality than urban populations, and rural patients may have more complications following resection. Reoperations due to complications following CC resection among rural and urban patients are not clear, and factors mediating disparities in rural-urban postoperative outcomes have not been examined.
Study Design: Using the SEER-Medicare database, individuals with CC who underwent surgical resection were compared via multivariable logistic regression to determine the association of rurality with postoperative complications and reoperations at 30, 60, and 90 days.
Eur J Case Rep Intern Med
September 2025
Respiratory Department, University Hospital Limerick, Limerick, Ireland.
Unlabelled: B-cell lymphomas are highly aggressive forms of lymphoma that commonly present with lymphadenopathy, systemic "B" symptoms, or organ involvement making them easy to recognize; however, a small percentage of B-cell lymphomas can present without any typical symptoms or evidence of lymphadenopathy, resulting in delayed recognition and management. Isolated thrombocytopenia without anaemia or leukopenia is an unusual presentation of B cell lymphomas and may be misdiagnosed as immune thrombocytopenia (ITP). Given the rarity of this presentation, we wish to report a case of a 76-year-old female who presented with palpitations, shortness of breath, and recurrent chest infections.
View Article and Find Full Text PDFJ Surg Case Rep
September 2025
Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, National Stadium Road, Karachi, 74800, Pakistan.
Cutaneous mucormycosis is a rare disease, which commonly affects immunocompromised individuals. It is highly invasive with devastating outcomes. Prompt actions such as surgical debridement and early initiation of antifungals are necessary to prevent the infection's rapid progression.
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