H5N1: Canada: Community-acquired MRSA in a female athlete.
Twenty days after suffering a leg injury while wind surfing, a previously healthy female athlete presented to St Paul's Hospital (Vancouver, British Columbia, Canada) with profound myalgia and shortness of breath. Within 24 hours of admission, she developed progressive multi-organ failure and was admitted to the intensive care unit (ICU) with severe sepsis secondary to methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. Several months prior to the wind surfing accident, this individual had participated in an extreme rowing event: 14 rowers embarked on a transatlantic rowing expedition across the Northern Atlantic Ocean. During the voyage, which lasted over 42 days, at least 9 of the 14 crew members developed extensive furuncles and carbuncles. Ultimately, 3 of the crew members developed severe infections requiring hospitalization. Laboratory data from those who reported skin and soft tissue infection related to the transatlantic crossing provide preliminary evidence for CA-MRSA as the causative organism.