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Variability of antibiotic susceptibility and toxin production of Staphylococcus aureus strains isolated from skin, soft tissue, and bone related infections.
[pyomyositis]
Staphylococcus
aureus
is
an
opportunistic
commensal
bacterium
that
mostly
colonizes
the
skin
and
soft
tissues
.
The
pathogenicity
of
S
.
aureus
is
due
to
both
its
ability
to
resist
antibiotics
,
and
the
production
of
toxins
.
Here
,
we
characterize
a
group
of
genes
responsible
for
toxin
production
and
antibiotic
resistance
of
S
.
aureus
strains
isolated
from
skin
,
soft
tissue
,
and
bone
related
infections
.
A
total
of
136
S
.
aureus
strains
were
collected
from
five
different
types
of
infection
:
furuncles
,
pyomyositis
,
abscesses
,
Buruli
ulcers
,
and
osteomyelitis
,
from
hospital
admissions
and
out-patients
in
Benin
.
All
strains
were
resistant
to
benzyl
penicillin
,
while
25
%
were
resistant
to
methicillin
,
and
all
showed
sensitivity
to
vancomycin
.
Panton
-
Valentine
leukocidin
(
PVL
)
was
the
most
commonly
produced
virulence
factor
(
70
%
)
,
followed
by
staphylococcal
enterotoxin
B
(
44
%
)
.
Exfoliative
toxin
B
was
produced
by
1
.
3
%
of
the
strains
,
and
was
only
found
in
isolates
from
Buruli
ulcers
.
The
tsst-
1
,
sec
,
and
seh
genes
were
rarely
detected
(
≤
1
%
)
.
This
study
provides
new
insight
into
the
prevalence
of
toxin
and
antibiotic
resistance
genes
in
S
.
aureus
strains
responsible
for
skin
,
soft
tissue
,
and
bone
infections
.
Our
results
showed
that
PVL
was
strongly
associated
with
pyomyositis
and
osteomyelitis
,
and
that
there
is
a
high
prevalence
of
PVL-MRSA
skin
infections
in
Benin
.
Diseases
Validation
Diseases presenting
"produced virulence factor (70%"
symptom
pyomyositis
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