Cholera-like diarrhea and shock associated with community-acquired methicillin-resistant Staphylococcus aureus (USA400 clone) pneumonia.

A 14-year-old girl presented with florid watery diarrhea, vomiting and hypotension without respiratory prodrome. Shock, multiorgan system failure and death rapidly ensued. Influenza A was detected from her nasopharynx and CA-MRSA (USA400), positive for pvl, mecA, sea, sec and seh genes was cultured from a deep tracheal aspirate.