Staphylococcus aureus Bacteremia Complicated by Psoas Abscess and Infective Endocarditis in a Patient with Atopic Dermatitis

The close relationship between atopic dermatitis (AD) and infective endocarditis (IE) has been implicated. Staphylococcus aureus colonization is frequently seen observed in AD patients’ skin lesions. Although a case of IE due to S. aureus bacteremia in an AD patient has been sporadically reported, a...

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Bibliographic Details
Published in:Case reports in infectious diseases 2017-01, Vol.2017 (2017), p.1-4
Main Authors: Nakao, Atsunori, Horii, Joichiro, Matsueda, Katsunori, Toyokawa, Tatsuya, Yumoto, Tetsuya, Tsuboi, Ichiro, Naito, Hiromichi
Format: Article
Language:English
Subjects:
Antibiotics
Atopic dermatitis
Bacteremia
Blood pressure
Care and treatment
Case Report
Case reports
Case studies
Complications and side effects
Dermatitis
Dermatology
Development and progression
Eczema
Electrocardiography
Endocarditis
Fever
Heart
Hospitals
Infective endocarditis
Patients
Pruritus
Skin
Staphylococcus aureus infections
Staphylococcus infections
Surgery
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Summary:The close relationship between atopic dermatitis (AD) and infective endocarditis (IE) has been implicated. Staphylococcus aureus colonization is frequently seen observed in AD patients’ skin lesions. Although a case of IE due to S. aureus bacteremia in an AD patient has been sporadically reported, a case of S. aureus bacteremia complicated by psoas abscess and IE has not been previously reported. A 42-year-old man with a history of AD presented to our hospital complaining of fever, fatigue, chills, lower right back pain, and poor appetite for a week. His blood cultures showed growth of S. aureus. On day 3, the patient presented acute cardiac failure and was diagnosed with IE based on echocardiogram examination. Since the patient’s cardiac failure did not respond to medication, an emergency surgery was performed on the fourth day of hospitalization. The patient underwent successful surgical treatment of the heart lesions and subsequent percutaneous drainage of psoas abscess and received intensive antibiotics, which successfully improved his condition. Our report emphasizes awareness of the association between AD and invasive S. aureus infections.
ISSN:2090-6625
2090-6633
DOI:10.1155/2017/4920182