Bullous Erysipelas Caused by Community-Acquired Methicillin-Resistant <i>Staphylococcus aureus</i>

Twelve-Day-Old Neonate With Rapidly Enlarging Forehead Lesion

“…7 Low rates of MRSA BI likely reflect the fact that community-acquired MRSA clones do not possess the exfoliative genes responsible for creating bullae in BI. 11 Though most cases are sporadic, BI is highly contagious and has resulted in outbreaks within neonatal centers across the world. [12][13][14][15] Most of these outbreaks can be attributed to a toxin-producing strain of MSSA.…”

Reply

“…Therefore, in contrast to the statement of Del Giudice and Blanc-Armane [1] , the current knowledge and epidemiology of CA-MRSA are continuously encountering new data on the presence of exfoliative toxin genes in CA-MRSA. Moreover, recent findings suggest that CA-MRSA have arisen from diverse genetic backgrounds rather than the worldwide spread of a single clone [8] .…”