title: Persistent bacteraemia due to methicillin-resistant Staphylococcus aureus with reduced susceptibility to vancomycin in a patient with erythrodermic psoriasis.
abstract: 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.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Jordan University Hospital, Amman, Jordan. fbakri@iu.edu.jo
authors.forename: Faris G
authors.initials: FG
authors.lastname: Bakri
authors.forename: Nisreen Abu
authors.initials: NA
authors.lastname: Al-Hommos
authors.forename: Asem
authors.initials: A
authors.lastname: Shehabi
authors.forename: Randa G
authors.initials: RG
authors.lastname: Naffa
authors.forename: Longzhu
authors.initials: L
authors.lastname: Cui
authors.forename: Keiich
authors.initials: K
authors.lastname: Hiramatsu
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin