MRSA - Not Just In Hospitals Anymore

A Deadly Bug Invades Our Towns
By Dr. Ranit Mishori
Publication Date: 12/07/2008

A few years ago, I began noticing an unusual number of patients coming in with what they described as spider bites. In clinics and emergency rooms across the U.S., colleagues were seeing it, too: Young people and old, male and female, complaining about a skin sore not unlike a pimple, often red and swollen, sometimes oozing and painful. The only thing was, very few of these patients recalled being bitten by a spider or any other kind of insect.

That’s because, in most of these cases, it wasn’t an insect. But it was a bug—a bacterium called methicillin-resistant Staphylococcus aureus, better known to most of us now as MRSA. These patient complaints were clear signs of what is now a MRSA epidemic.

According to a recent article in the Journal of the American Medical Association, MRSA caused more than 94,000 life-threatening infections and nearly 19,000 deaths in the U.S. in 2005. One study in The New England Journal of Medicine found MRSA 59% of the time when adults came to emergency rooms with skin infections.

MRSA is not new. It has been plaguing our hospitals for decades. It kills by infecting the blood and lungs of very sick patients or those recovering from surgery. But at least doctors knew—o r thought—that if you weren’t a hospital patient in weakened condition, MRSA wasn’t going to find you.

“That is no longer true,” says Dr. Robert Daum, a pediatrician and infectious-diseases specialist at the University of Chicago. “Hospital transmission is not what’s driving the epidemic disease we see everywhere.” New strains of MRSA have been born outside hospital walls and are finding anybody and everybody. That includes, says Dr. Rachel Gorwitz of the Centers for Disease Control and Prevention, “otherwise healthy people in the community, including children.”

Consider Susan Wagoner, 49, a businesswoman from Scottsdale, Ariz. MRSA first appeared as a small abscess on her upper leg. Even though she was treated with antibiotics, the abscess grew larger, and then another one developed elsewhere. The pain became excruciating. As weeks turned into months, her illness forced Wagoner to quit her job, and she says, “I began looking into funeral arrangements.”

Grant Hill, the NBA all-star, contracted MRSA a few years ago as a skin infection near his ankle, and he had to spend a week in the intensive-care unit. “I was lucky to survive,” Hill says.

Not so lucky was an 18-month-old in Chicago named Simon Sparrow, in good health before MRSA got into his lungs. Once it took hold there, even the most aggressive treatment could not rescue the toddler.

These new strains of MRSA—not all as deadly as the one that afflicted Simon—are showing up all over the community: Read More