Cutaneous manifestations of Helicobacter cinaedi infection.
Helicobacter cinaedi causes gastroenteritis and bacter-aemia, particularly in immunocompromised individuals. Although cellulitis is sometimes reported to accompany infection by this pathogen, the cutaneous manifestations are poorly understood. To clarify the characteristic cutaneous features, 47 cases of H. cinaedi bacteraemia experienced at Sapporo City General Hospital as nosocomial infection were retrospectively evaluated. Thirty-four percent (16 cases) of the patients showed cutaneous lesions. They all had sudden onset of erythemas accompanied by high temperature. The most common cutaneous manifestations were found to be superficial cellulitis, which results in painful erythemas or infiltrated erythematous plaques on the extremities. These skin lesions can be an early clinical indicator of H. cinaedi bacteraemia in the setting of nosocomial infection.
Department of Dermatology, Sapporo City General Hospital, North 11, West 13, Sapporo 060-8604, Japan. rxe10376@nifty.com
Satoko
S
Shimizu
Daisuke
D
Inokuma
Mika
M
Watanabe
Toshiya
T
Sakai
Satoshi
S
Yamamoto
Kikuo
K
Tsuchiya
Hiroshi
H
Shimizu
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D003428:Cross Infection / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D004890:Erythema / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D005260:Female; D016998:Helicobacter / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification*; D016481:Helicobacter Infections / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000187:drug effects / Q000382:microbiology / Q000473:pathology*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents