Two Cases of Infective Endocarditis in Patients with Atopic Dermatitis
| Autor: | Eun Byul Cho, Kwang Joong Kim, Bok Won Park, Kwang Ho Kim, Yo Sup Shin, Eun Joo Park |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
myalgia
medicine.medical_specialty Infective or Infectious endocarditis Staphylococcus aureus Context (language use) Case Report Dermatology medicine.disease_cause 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Blood culture Atopic dermatitis medicine.diagnostic_test business.industry Cerebral infarction medicine.disease body regions 030220 oncology & carcinogenesis Infective endocarditis Splenic infarction medicine.symptom business |
| Zdroj: | Annals of Dermatology |
| ISSN: | 2005-3894 1013-9087 |
| Popis: | Patients with atopic dermatitis have high rates of skin surface colonization of Staphylococcus aureus. At the same time, S. aureus is the major causative organism in infective endocarditis, approximately accounting for 30%~50% cases of infective endocarditis. A 22-year-old male with severe atopic dermatitis presented with fever and myalgia. He was diagnosed with active infective endocarditis causing multiple cerebral infarction, splenic infarction, and septic shoulder requiring synovectomy. Blood culture proved methicillinsensitive Staphylococcus aureus bacteremia, and the culture from the skin revealed same bacteria. After treated with intravenous antibiotics for 6 weeks, patient was improved. Another 42-year-old female with severe atopic dermatitis who presented with fever and chilling was hospitalized due to acute infective endocarditis. She also had left flank pain and visual disturbance, due to splenic infarction and acute cerebral infarction, respectively. As blood culture revealed methicillin-sensitive Staphylococcus aureus bacteremia, she treated with intravenous antibiotics for 6 weeks. The route of entry of two patients was attributed to the patient eczematous scratching lesion of poorly controlled atopic dermatitis. Infective endocarditis can result in the context of acute deterioration of atopic dermatitis. Dermatologists need to pay attention to this risk and actively manage such conditions in order to decrease the risk of infective endocarditis arising from skin lesions in atopic patients. For these reasons, we herein report two cases of infective endocarditis in patients with atopic dermatitis. |
| Databáze: | OpenAIRE |
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