Staphylococcus aureus Bacteremia Sophisticated by Psoas Abscess and Infective Endocarditis in a Affected person with Atopic Dermatitis.
Case Rep Infect Dis. 2017;2017:4920182
Authors: Tsuboi I, Yumoto T, Toyokawa T, Matsueda Okay, Horii J, Naito H, Nakao A
The shut relationship between atopic dermatitis (AD) and infective endocarditis (IE) has been implicated. Staphylococcus aureus colonization is continuously seen noticed in AD sufferers’ pores and skin lesions. Though a case of IE resulting from S. aureus bacteremia in an AD affected person has been sporadically reported, a case of S. aureus bacteremia difficult by psoas abscess and IE has not been beforehand reported. A 42-year-old man with a historical past of AD offered to our hospital complaining of fever, fatigue, chills, decrease proper again ache, and poor urge for food for every week. His blood cultures confirmed progress of S. aureus. On day three, the affected person offered acute cardiac failure and was recognized with IE based mostly on echocardiogram examination. For the reason that affected person’s cardiac failure didn’t reply to treatment, an emergency surgical procedure was carried out on the fourth day of hospitalization. The affected person underwent profitable surgical remedy of the center lesions and subsequent percutaneous drainage of psoas abscess and obtained intensive antibiotics, which efficiently improved his situation. Our report emphasizes consciousness of the affiliation between AD and invasive S. aureus infections.
PMID: 29375918 [PubMed]