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Intrafamilial Spread of Methicillin-Resistant Staphylococcus aureus Infections
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To the Editor: In his Clinical Crossroads article, Dr Moellering1 discussed the natural history, risk factors, epidemiology, and treatment of methicillin-resistant Staphylococcus aureus (MRSA) infections, using the case of a man with a recurrent skin infection. He noted the risks of infection from close and intimate contact in settings where such infections have been documented (hospitals, nursing homes, prisons, and athletic contacts). However, only the patient mentioned his family (the site of the most prolonged and intimate contact for most patients) and 1-year-old son, "who's been on [antibiotics] ever since birth."
It seems likely that the son has only been treated empirically and never cultured, so it is probably unknown whether he has had MRSA. However, multiple family members can have simultaneous or serial infections with the same Staphylococcus organism. One such documented familial outbreak of MRSA began with a family member who was hospitalized; was identified later in the . . . [Full Text of this Article]
Henry R. Bloom, MD
mxm74@case.edu
Department of Family Medicine
Case Western Reserve University
University Heights, Ohio
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RELATED ARTICLE
A 39-Year-Old Man With a Skin Infection
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JAMA. 2008;299(1):79-87.
ABSTRACT
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RELATED LETTER
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