< Back to Images

PART 8: Infectious Diseases
SECTION 5   Diseases Caused by Gram-Positive Bacteria

135 Staphylococcal Infections
Franklin D. Lowy

Figure 135-1  Gram's stain of S. aureus in a sputum sample with polymorphonuclear leukocytes. (From ASM MicrobeLibrary.org.© Pfizer, Inc.)
view large
Figure 135-2  Biochemical characterization of staphylococci: algorithm of biochemical tests used to discriminate among the clinically important staphylococci. Additional tests are necessary to identify all of the different species.
view large
Figure 135-3  S. aureus vertebral osteomyelitis and epidural abscess involving the thoracic disk -between T9 and T10. Sagittal postcontrast MRI of the spine illustrates destruction of the T9–T10 intervertebral space with enhancement (arrow). There is impingement on the thoracic cord and an epidural collection extending from T9 through T11 (short...
view large
Figure 135-4  CT illustrating necrotizing pneumonia due to community-acquired MRSA in a diabetic woman who originally presented with a cutaneous abscess.
view large
Figure 135-5  Evidence of staphylococcal scalded-skin syndrome in a 6-year-old boy. Nikolsky's sign, with separation of the superficial layer of the outer epidermal layer, is visible. (Reprinted with permission from LA Schenfeld et al: N Engl J Med 342:1178, 2000. © 2000 Massachusetts Medical Society. All rights...
view large