Recurrent prosthetic valve endocarditis caused by Staphylococcus aureus colonizing skin lesions in severe atopic dermatitis.
Infective endocarditis, a serious infection most commonly affecting rheumatic or prosthetic valves, generally occurs after bacteremia. Atopic dermatitis, a very common disease, carries a high prevalence of skin infections, particularly with Staphylococcus aureus. While cutaneous colonization by S. aureus represents an important source of bacteremia, few cases of infective endocarditis arising from the skin lesions of atopic dermatitis have been reported. We describe a patient with recurrent S. aureus prosthetic valve endocarditis developing in this manner.
Yamamoto
Takeshi
T
Intensive and Cardiac Care Unit, Nippon Medical School, Tokyo, Japan. yamamoto56@nms.ac.jp <yamamoto56@nms.ac.jp>
Yodogawa
Kenji
K
Wakita
Satoshi
S
Ogano
Michio
M
Tokita
Miwa
M
Miyagi
Yasuo
Y
Sato
Naoki
N
Nitta
Takashi
T
Tanaka
Keiji
K
Takano
Teruo
T
D000328:Adult; D015169:Colony Count, Microbial; D003876:Dermatitis, Atopic / Q000150:complications* / Q000503:physiopathology; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects* / Q000382:microbiology*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery; D012008:Recurrence; D012720:Severity of Illness Index; D013207:Staphylococcal Skin Infections / Q000209:etiology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000254:growth & development