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A
fter an in depth study conducted
by the Texas A&M Health Science Institute of Biosciences
and Technology, a toxin was discovered in the bacteria of
one of the most virulent forms of staph. It was also found
that the staph strain and its toxin are factors in the contraction
of a severe form of pneumonia that can be fatal within seventy-two
hours. The study was published in Science Express and in the
journal Science.
The kind of staphylococcus bacteria that causes the deadly
pneumonia is known as CA-MRSA or community associated- methicillin
resistant Staphylococcus Aureus strain. The CA-MRSA produces
the Panton Valentin leukocidin toxin and this makes the pneumonia
kill within 72 hours. The scenario was confirmed by M Gabriela
Bowden, PhD, co-author of the study, presents the eventuality
that the CA-MRSA strain would come up in the health care setting.
This would decimate the patient population because of the
compromised immune systems and the lack of antibiotics to
suppress or eradicate MRSA and its pneumonia.
The Staphylococcus Aureus is a bacteria that inhabits the
skin and nasal region of about thirty percent of the population.
When the bacteria enters the skin, the result can be relatively
simple outbreaks of pimple or boils. If the bacteria enters
the bloodstream, it can cause major diseases such as meningitis,
endocarditis, sepsis, toxic shock syndrome and pneumonia.
In the 1940s, staphylococcus aureus was suppressed by penicillin
but due to the unhealthy practice of stopping medication when
symptoms abate created a form of the bacteria resistant to
penicillin.
MRSA resulted from the overuse and misuse of antibiotics.
Since not all the bacteria is killed off prior to weaning
from antibiotics, when one stops the medication, the remaining
bacteria flourish. This practice created the drug resistant
strain of staph, called MRSA. CA-MRSA is another more potent
strain for it had developed outside the medical healthcare
setting.
CA-MRSA initially causes serious skin and soft tissue infection
resulting in redness and abscess build up. When the CA-MRSA
enters the bloodstream and enters the lungs, the bacteria
produces the PVL toxin. This results in MRSA pneumonia as
the bacterium attacks the infection fighting white blood cells
called leukocytes. This builds up fluid in the lungs, affecting
its capacity to produce much needed oxygen for the body. The
built up fluid causes pneumonia and since there is no known
antibiotic remedy for the infection, lung failure results
within seventy-two hours. This is the fatal form of lung failure
called necrotizing pneumonia.
Some of the symptoms before the onset of MRSA pneumonia come
after a bout with influenza. This stems from the fact that
the MRSA has entered the bloodstream and is now attacking
other soft tissue organs in the body. After the flu, there
is a remission and then the pneumonia sets in. The numbers
are staggering, with those who recovered from the influenza
twice as likely to die from MRSA pneumonia. Some are left
undiagnosed and succumb to lung failure within 72 hours. The
difficulty presented is the common nature of the symptoms,
often misdiagnosed, newer strains of MRSA cropping up, poor
penetration into the cell lining fluid of epithelials and
the lack of effective antibiotics makes the MRSA pneumonia
one of the silent killers today.
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