Severe Necrotizing Pneumonia Caused by Panton‑Valentine Leukocidin‑Producing Staphylococcus aureus in a Previously Healthy Adult

既往健康成人感染潘顿-瓦伦丁白细胞毒素产生菌金黄色葡萄球菌后发生严重坏死性肺炎

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Abstract

A previously healthy adult male presented with rapidly progressive pneumonia and systemic features of infection shortly after returning from travel abroad. Despite broad‑spectrum antimicrobial therapy and supportive measures, he deteriorated into respiratory failure requiring ICU admission and mechanical ventilation. Imaging revealed cavitating lung nodules and necrosis. Panton-Valentine leukocidin (PVL)‑positive Staphylococcus aureus (PVL‑SA) was confirmed by PCR. This case highlights the importance of early recognition and targeted management of PVL‑SA, a virulent toxin‑producing strain associated with severe necrotizing pneumonia and systemic complications, especially in young, otherwise healthy individuals.

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