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Bacteria In Staph Infections Can Cause Necrotizing Pneumonia (MRSA)
Science Daily ^ | 1-28-2007 | Texas A&M

Posted on 01/28/2007 4:09:37 PM PST by blam

Source: Texas A&M Health Science Center
Date: January 28, 2007

Bacteria In Staph Infections Can Cause Necrotizing Pneumonia

Science Daily — Researchers at the Texas A&M Health Science Center Institute of Biosciences and Technology at Houston have discovered a toxin present in the bacteria responsible for the current nationwide outbreak of staph infections also has a role in an aggressive pneumonia that is often fatal within 72 hours.

"The virulence of CA-MRSA (community-associated methicillin-resistant Staphylococcus aureus) strains that produce the PVL (Panton Valentine leukocidin) toxin presents a nightmare scenario," said M. Gabriela Bowden, Ph.D., research assistant professor at HSC-IBT and co-senior author. "If the community-acquired strain establishes itself in the hospital setting, it will be difficult to contain."

The most common cause of staph infections, S. aureus is a bacteria found on the skin or in the nose of about 25-30 percent of people. It also can be the culprit in minor skin infections like pimples and boils, as well as major diseases like meningitis, endocarditis, toxic shock syndrome and pneumonia.

In their study, Dr. Bowden and her colleagues at the HSC-IBT Center for Extracellular Matrix Biology used mice to analyze S. aureus Panton Valentine leukocidin (PVL), a pore-forming toxin secreted by bacterial strains associated with both the current outbreak of CA-MRSA and necrotizing pneumonia.

CA-MRSA causes serious skin and soft tissue infections in healthy persons who have not been recently hospitalized or undergone invasive medical procedures, while necrotizing pneumonia destroys healthy lung tissue and can be fatal within 72 hours. With the PVL toxin, the bacterium also attacks infection-fighting white blood cells (leukocytes).

In the 1940s, the high mortality rate from S. aureus was abated by penicillin, but the bacteria soon developed a resistance. Methicillin provided new treatment options for infections in the late 1950s, but as of the late 1990s, it has become resistant.

In December, the United Kingdom had its first documented report of fatal necrotizing pneumonia cases caused by PVL-positive CA-MRSA. Eight hospitalized patients developed infections from CA-MRSA, and two died. It was previously believed the hospitals were free of these virulent strains of CA-MRSA.

Testing several bacterial strains, the HSC-IBT researchers learned PVL itself has an enhanced ability to disrupt cells in the body, and PVL-positive S. aureus has a greater capacity to attach to and colonize the lung, the latter resulting in necrotizing pneumonia.

"Our research shows in vivo that PVL is sufficient to cause pneumonia," Dr. Bowden said. "PVL-producing S. aureus overexpress other factors that enhance inflammation and bacterial attachment to the lung. These combined effects result in a vicious cycle of tissue destruction and inflammation, explaining the rapid onset and lethal outcome of this type of pneumonia."

Using these findings, the next step is additional studies to identify targets for potential development of therapies to treat S. aureus infections, including the PVL-positive strain.

"The present study underscores the aggressiveness of these strains and the urgent need to develop new strategies to battle these infections," Dr. Bowden said.

Other Science Express study contributors from the Center for Extracellular Matrix Biology were Magnus Höök, Ph.D., director and professor; Eric Brown, Ph.D., assistant professor (now at The University of Texas School of Public Health at Houston); Maria Labanderia-Rey, postdoctoral fellow; Vanessa Vazquez, graduate student; and Elena Barbu, graduate student. Florence Couzon, Sandrine Boisset, Michele Bes, Yvonne Benito, Jerome Etienne and François Vandenesch from the University of Lyon and Hospices Civils de Lyon (France) also contributed.

Grants from the HSC, French Ministry of Research, National Institutes of Health, and Neva and Wesley West and Hamill Foundations supported this research.

The Texas A&M Health Science Center provides the state with health education, outreach and research. Its six components located in communities throughout Texas are Baylor College of Dentistry, the College of Medicine, the Graduate School of Biomedical Sciences, the Institute of Biosciences and Technology, the Irma Lerma Rangel College of Pharmacy, and the School of Rural Public Health.

Note: This story has been adapted from a news release issued by Texas A&M Health Science Center.


TOPICS: News/Current Events
KEYWORDS: bacteria; diseases; flesheatingbacteria; health; mrsa; pneumonia; pvl; science; staph
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To: blam; All

Thanks for posting. Thanks to all contributors to this thread. BTTT!


41 posted on 01/28/2007 6:30:13 PM PST by PGalt
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To: skippermd
Thank you for sharing that information with me.I have it book marked just in case.She has been on oxygen,but I do not know if that is adequate enough.It better be.My wife is my world,and a supposedly simple operation is turning into a bad situation.The DR.who is supposed to be world renown can hardly speak English.No big deal except I hate being talked to like I am stupid.He used a glove to demonstrate what he had done to my wife,but I had already downloaded all the info from the net.I had a very good idea of what was going on.The Internet is an amazing way to get info .The one day and home thing is turning into four days and I do not see daylight ahead.Thanks again.
42 posted on 01/28/2007 6:30:53 PM PST by xarmydog
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To: nmh

You said -- "I can't figure out where I got it."

Perhaps you're in the 25-30 percent --

"The most common cause of staph infections, S. aureus is a bacteria found on the skin or in the nose of about 25-30 percent of people."

And you rubbed your nose...

Regards,
Star Traveler


43 posted on 01/28/2007 6:38:18 PM PST by Star Traveler
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To: mad_as_he$$
Too bad hospitals don't know how to clean.

They'd do well to replace all that stainless steel with copper or copper-bearing alloy for counters, sinks, faucets, doorhandles, etc. A copper bearing surface is a hostile environment to MRSA and many other bacterial pathogens.

44 posted on 01/28/2007 6:43:18 PM PST by tacticalogic ("Oh bother!" said Pooh, as he chambered his last round.)
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To: mariabush
It is bad to the point where there are only two antibiotics left that can suppress it if it goes to far.It is way more dangerous than people know.My wife's started with what looked like a bruise,and kept going back.Then there were two,then three,and after a month there were four all centered around her stomach area.I believe she would still be going through this crap until I made it clear that something needed to be done NOW.They knew I meant business and if it had continued very much longer,I would be a widower.And not a happy one.I hope they fixed your husband OK.Reading these post's should be a wake up call.I am astounded at the amount of people who have gotten this.
45 posted on 01/28/2007 6:44:24 PM PST by xarmydog
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To: xarmydog

Thanks....It took a long time for my Mom to pass. Despite her wishes my father and sister kept her on life support for a long time. Since she had Dementia and other health problems.... there was no quality of life anyway. She had been like that for many years. It was very heartbreaking and I wish she had made a living will. My brother and my wishes didn't matter......My daughter is in England studying so I assume things are well so far for her. I hope all is well with your family also. ~~Pandora~~


46 posted on 01/28/2007 6:46:13 PM PST by pandoraou812 ( zero tolerance to the will of Allah ......efg and dilligaf?)
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To: blam

To me the answers are clearly procedural. Anti-bacterial measures during hospital admittance, the return of the "house call", and probably numerous other common-sense measures.


47 posted on 01/28/2007 6:46:54 PM PST by The Duke (I have met the enemy, and he is named 'Apathy'!)
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To: xarmydog
I'm sorry to hear about your situation. I can't imagine how difficult it may be. Just keep in mind that there's no shame in questioning your wife's care-- it makes no one look dumb except the caregiver..

that said, hyperbaric oxygen therapy requires that she goes into a dive tank of sorts (used to treat the bends in divers) depending where you are, they usually are outpatient deals and in major cities. You can't lose anything if you bring it up to the doc, or write a note on a post-it and ask the nurse to put it on your wife's chart (that works great too)

Godspeed

48 posted on 01/28/2007 6:55:02 PM PST by skippermd
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To: pandoraou812

She probably NEVER had ANY spider bites.... it was all MSRA. One of the most common initial symptoms of MSRA are unexplained "spider bites" on the skin - usually mis-diagnosed by Doctors.


49 posted on 01/28/2007 6:56:31 PM PST by KeepUSfree (WOSD = fascism pure and simple.)
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To: jammer

see my post above to ga medic


50 posted on 01/28/2007 6:58:14 PM PST by skippermd
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To: jammer
Riiiighhhhttt-- hospitals don't make money off of $7 a pill tylenol...

And Merck doesn't give free lunches to docs because they like them... fyi

51 posted on 01/28/2007 6:59:59 PM PST by skippermd
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To: VOA
Yep, I had an other infection after I got rid of the first one. But got rid of it.

Haven't had one since.

When I went to the Doc the first time around, he said I was the 3rd case THAT day who had a staph infection. Geesh.

52 posted on 01/28/2007 7:00:28 PM PST by GulfWar1Vet (Let's go to the Farside....)
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To: nmh

You are right - antibacterial soaps are bad. These super-resistant bacteria and virus strains are not resistant to hydrogen peroxide nor are they resistant to colloidal silver. There are also many natural and herbal remedies for stuff that are better than the antibiotics that cause the mutated resistant strains.


53 posted on 01/28/2007 7:02:51 PM PST by GGpaX4DumpedTea
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To: ga medic
Oh I read the study sometime ago. The point I was trying to make is that it is proven and if used in stronger forms as a cleaning agent it could be effective in wiping out many bacteria. Only one way to find out is to start a study where TTO is the cleaning agent at some facility and see what the data says.

I have also read some data that indicates that application of maggots early on can significantly reduce the length and amount of damage from the attack.

54 posted on 01/28/2007 7:18:21 PM PST by mad_as_he$$ (So many geeks so few circuses.)
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To: pandoraou812

I had never thought of the dog thing. I'll try it next time doggy needs a bath. Thanks!


55 posted on 01/28/2007 7:19:22 PM PST by mad_as_he$$ (So many geeks so few circuses.)
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To: KeepUSfree
Yes she did have the spider bites. She was working beach patrol and at times she would have to chase kids from underneath the boardwalk. Other workers were bit too. None however got the meningitis or MRSA though. It was a brown recluse spider bite.....I avoid wood piles and rotten wood now too. I have been bitten a few times in the past couple of years. I don't know what kind of spiders but I seek medical treatment ASAP. As soon as I see any swelling I get to the doctor.
56 posted on 01/28/2007 7:27:09 PM PST by pandoraou812 ( zero tolerance to the will of Allah ......efg and dilligaf?)
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To: jammer
Sorry but it does prove that TTO is effective in 41% of cases. That is a FAR cry over many other treatments. There also is alot of other data out there. This study was the first I am aware of.

I have an engineering back round. When engineers are presented with new data they act on it. The very fact that mainstream medicine has FAILED to even seriously study TTO is what they should be ashamed of. IF somebody walked into my hospital and offered me a 41% cure for a disease that is rapidly becoming "incurable" I would investigate it IMMEDIATELY!

Suppose you could reduce plane or car crashes by 41%. The Gvmnt and the public would crucify you if you didn't do it.

I do not mean any insult of medical workers. Management at many institutions that is the problem and if you think medicine is purely about high ideals and not profit I have some waterfront property to sell you.

57 posted on 01/28/2007 7:31:21 PM PST by mad_as_he$$ (So many geeks so few circuses.)
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To: tacticalogic
Good point. Japan has had "bacteria hostile" surfaces in many public areas for years.
58 posted on 01/28/2007 7:32:29 PM PST by mad_as_he$$ (So many geeks so few circuses.)
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To: skippermd
Thinking that hospitals--who spend tremendous amounts of time, money, and effort to combat these very infections--do so purposely in order to gain money is nothing less than a psychopathology.

Where the hell do you think medical personnel put themselves and their families when they are sick? In hospitals that deliberately, through omission or commission, turn a blind eye to these infections so they can generate revenue? And that rebuttal doesn't take into account what kind of person would do something like that. Methinks you're projecting your own motivations.

I could give you a lesson in medical economics (you're right about overpriced Tylenol), but your psychology makes it hopeless. Say all you want. I've responded all I will.

59 posted on 01/28/2007 7:32:38 PM PST by jammer
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To: xarmydog
xarmydog if it was bladder surgery the pneumonia can come from UTI's or Urinary Tract Infections. I don't want to scare you but the doctor needs to watch for CHF or Congestive Heart Failure which can go along with it. Before you go off to Internet land searching up on CHF in this case unlike a virus to the heart causing CHF it is reversible and curable.

My wife had a Urostomy and Colostomy done two and a half years ago. A year and a half ago she got real sick over a two day period. I called her Urologist and went to the drug store to get an antibiotic. When I returned her breathing was much worse so we went tot the ER. Our Primary Care Physican happened to be making rounds and the ER doc called him down to look at her.

He had a somber look but put her in the hospital and on some IV's for about a week. She's doing fine. UTI's can cause punemonia and even CHF if it goes too long and many patients don't realize it. I didn't realize it and I've been her caregiver 21 years and dealt with many UTI's in that time with her. You and her are in my prayers.

60 posted on 01/28/2007 7:34:49 PM PST by cva66snipe (If it was wrong for Clinton why do some support it for Bush? Party over nation destroys the nation.)
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