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Through its cytolytic action on the cell membranes of human polymorphonuclear neutrophils, PVL causes a range of pathologies collectively known as PVL-SA disease. The hallmark clinical signs of PVL-SA are recurrent boils and necrotizing skin and soft tissue infections (SSTIs) in otherwise healthy patients; however, it can lead to more severe and invasive presentations, including necrotizing haemorrhagic pneumonia, necrotizing fasciitis and purpura fulminans. Young adults with minimal previous exposure to healthcare settings tend to be at highest risk for acquiring PVL-SA disease, with close physical contact playing a central role in disease transmission. The prevalence of PVL-SA varies globally; however, this is often underestimated owing to a lack of routine PVL testing. In the UK, PVL-positive SA isolates have been rising over the past decade alongside an increasing prevalence of multidrug resistance in larger cities. This review article aims to raise awareness of the PVL toxin, to aid clinicians with diagnostic pointers and to provide guidance with treatment, with an emphasis on the need for further population-based studies.<\/jats:p>","DOI":"10.1111\/ced.15392","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T14:24:10Z","timestamp":1661869450000},"page":"2150-2158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Panton\u2013Valentine leucocidin-producing Staphylococcus aureus: a clinical review"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2116-7718","authenticated-orcid":false,"given":"Khawar","family":"Hussain","sequence":"first","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisha","family":"Bandyopadhyay","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nerys","family":"Roberts","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabeela","family":"Mughal","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster NHS Foundation Trust London UK"},{"name":"North West London Pathology Imperial College Healthcare NHS Trust London UK"},{"name":"National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance Imperial College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke S. 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