@article{oai:nagasaki-u.repo.nii.ac.jp:00006438, author = {Iwanaga, Naoki and Fukuda, Yuichi and Nakamura, Shigeki and Imamura, Yoshifumi and Miyazaki, Taiga and Izumikawa, Koichi and Kakeya, Hiroshi and Yanagihara, Katsunori and Soda, Hiroshi and Tashiro, Takayoshi and Kohno, Shigeru}, issue = {13}, journal = {Internal Medicine}, month = {Jul}, note = {A chest X-ray of a young healthy African-American man with acute respiratory failure revealed bilateral multiple nodular shadows in the lungs, while community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) was detected in blood and sputum cultures. Magnetic resonance imaging showed osteomyelitis of the left thigh, and computed tomography revealed bilateral cavitary lesions in the chest, indicating necrotizing pneumonia with pulmonary embolism caused by osteomyelitis as a result of infection with CA-MRSA. CA-MRSA should be suspected as a causative agent of severe community-acquired pneumonia, even in Japan, among patients who belong to communities at high risk of CA-MRSA infection., Internal Medicine, 52(13), pp.1531-1536; 2013}, pages = {1531--1536}, title = {Necrotizing Pneumonia due to Femoral Osteomyelitis Caused by Community-acquired Methicillin-resistant Staphylococcus aureus}, volume = {52}, year = {2013} }