Persistent bacteraemia due to methicillin-resistant Staphylococcus aureus with reduced susceptibility to vancomycin in a patient with erythrodermic psoriasis.
A 49-y-old male with erythrodermic psoriasis developed persistent bacteraemia for 3 months due to methicillin-resistant Staphylococcus aureus despite antimicrobial therapy. The skin was the likely focus. Three consecutive isolates from the blood and 1 from the nose were identical and had vancomycin MIC of 4 mg/l.
Bakri
Faris G
FG
Department of Medicine, Division of Infectious Diseases, Jordan University Hospital, Amman, Jordan. fbakri@iu.edu.jo
Al-Hommos
Nisreen Abu
NA
Shehabi
Asem
A
Naffa
Randa G
RG
Cui
Longzhu
L
Hiramatsu
Keiich
K
D000900:Anti-Bacterial Agents / Q000494:pharmacology; D016470:Bacteremia / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D008297:Male; D016106:Methicillin Resistance / Q000187:drug effects*; D008875:Middle Aged; D011565:Psoriasis / Q000382:microbiology*; D013207:Staphylococcal Skin Infections / Q000150:complications; D013211:Staphylococcus aureus / Q000187:drug effects* / Q000472:pathogenicity; D014640:Vancomycin / Q000494:pharmacology; D020713:Vancomycin Resistance
D000900:Anti-Bacterial Agents; D014640:Vancomycin