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To the Editor: Methicillin-resistant Staphylococcus aureus (MRSA) is recognized as a major nosocomial pathogen. Long-term persistence of nasal carriage may explain its presence in the community. Community-acquired MRSA infections have been recently reported.¹ We report a case of community-acquired MRSA infection with secondary familial transmission.

Report of a Case

A 27-year-old woman, admitted in the obstetrical ward of our hospital on June 12, 1998, gave birth to a healthy girl (sibling 3). Two days later, the newborn developed a cutaneous pustular lesion, a culture of which yielded MRSA with an uncommon antibiotic susceptibility pattern (ie, susceptible to fluoroquinolones, rifampin, fosfomycin, glycopeptides, and aminoglycosides except kanamycin and neomycin, and resistant to fusidic acid and tetracycline) that had never been observed in our hospital. The mother and the newborn were discharged on June 16 with topical antiseptic treatment for the lesion.

The mother, who had only visited health care institutions for pregnancy surveillance and deliveries, was . . . [Full Text of this Article]

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