P1247 Clonal spread of Staphylococcus aureus among soldiers in Latvian contingent in Iraq

Pinke, M.; Cupane, Liene; Balode, Aija; Pujate, E.; Dumpis, Uga; Aksenoka, Karina; Miklaševičs, Edvīns

doi:10.1016/s0924-8579(07)71087-7

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“…Secondly, are military personnel in Iraq at a relatively greater risk of contracting a PVL secreting rather than a typical S. aureus infection? This question was investigated by a 2007 study which reported that, within the Latvian army, rates of S. aureus colonisation were significantly higher in soldiers deployed in Iraq than in those stationed in Latvia [9]. The proportion of PVL secreting S. aureus, however, was similar to that described elsewhere.…”

Section: Discussionmentioning

confidence: 87%

PVL Staphylococcus Aureus Osteomyelitis Complicating Septic Arthritis in a Uk Soldier Serving in Iraq

et al. 2009

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Musculoskeletal infections caused by Panton-Valentine Leukocidin (PVL) secreting Stapylococcus aureus in children and adolescents have previously been reported. We report the first adult case in a 26 year-old British Army soldier who presented with a S. aureus septic arthritis. He was treated by surgical washout and antibiotics and discharged but was readmitted five months later with an ipsilateral femoral osteomyelitis requiring debridement. The causative S. aureus grown from tissue biopsy taken at time of surgery was found to encode the PVL gene. Whilst there is evidence that soldiers in Iraq have a greater rate of S. aureus colonisation on their skin, the proportion that encode the PVL gene is similar to that observed in the UK. Soldiers are however, subject to the known risk factors that increase vulnerability to PVL secreting S. aureus infection. Military clinicians need to be aware of PVL secreting S. aureus and have a low threshold for requesting specific testing in aggressive musculoskeletal S. aureus infections.

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Section: Discussionmentioning

confidence: 87%