Vertically acquired community methicillin-resistant Staphylococcus aureus dacryocystitis in a neonate.

Methicillin-resistant Staphylococcus aureus (MRSA) infections are becoming increasingly common in the community, especially among children.(1) Community MRSA differs from the more familiar nosocomial MRSA in having a distinct epidemiology and a broader antibiotic-susceptibility profile.(2) Community MRSA can infect the eye and orbit.(3,4) Cases have been reported in otherwise-healthy children, including chronic dacryocystitis in an 8-month-old infant and orbital cellulitis in a 16-month-old child.(5,6) I report a case of perinatally acquired community MRSA dacryocystitis and periorbital cellulitis associated with bacteremia in a 12-day-old previously healthy, full-term neonate.