Serious Complications from Staphylococcal aureus in Atopic Dermatitis

Colonization with Staphylococcal aureus is markedly more frequent in individuals with atopic dermatitis (AD) than in unaffected individuals. Chronic scratching leads to worsening of an existing defect in the epidermal barrier, which can allow S. aureus invasion into the bloodstream and subsequent sy...

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Veröffentlicht in:Pediatric dermatology 2015-11, Vol.32 (6), p.792-796
Hauptverfasser: Patel, Devika, Jahnke, Marla N.
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description Colonization with Staphylococcal aureus is markedly more frequent in individuals with atopic dermatitis (AD) than in unaffected individuals. Chronic scratching leads to worsening of an existing defect in the epidermal barrier, which can allow S. aureus invasion into the bloodstream and subsequent systemic infections. We report two unusual cases of systemic illness in individuals with AD. One developed infective endocarditis followed by a stroke and the other developed septic arthritis and osteomyelitis. We performed an extensive literature review of reported systemic complications caused by S. aureus in patients with AD. Although reports are rare, practitioners should be aware of these important, albeit unlikely, complications of staphylococcal superinfections in individuals with AD.
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Chronic scratching leads to worsening of an existing defect in the epidermal barrier, which can allow S. aureus invasion into the bloodstream and subsequent systemic infections. We report two unusual cases of systemic illness in individuals with AD. One developed infective endocarditis followed by a stroke and the other developed septic arthritis and osteomyelitis. We performed an extensive literature review of reported systemic complications caused by S. aureus in patients with AD. 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Chronic scratching leads to worsening of an existing defect in the epidermal barrier, which can allow S. aureus invasion into the bloodstream and subsequent systemic infections. We report two unusual cases of systemic illness in individuals with AD. One developed infective endocarditis followed by a stroke and the other developed septic arthritis and osteomyelitis. We performed an extensive literature review of reported systemic complications caused by S. aureus in patients with AD. Although reports are rare, practitioners should be aware of these important, albeit unlikely, complications of staphylococcal superinfections in individuals with AD.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26337792</pmid><doi>10.1111/pde.12665</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Age Distribution
Arthritis, Infectious - epidemiology
Arthritis, Infectious - etiology
Arthritis, Infectious - physiopathology
Bacteremia - epidemiology
Bacteremia - etiology
Bacteremia - physiopathology
Bacterial Toxins - adverse effects
Child
Child, Preschool
Conjunctivitis - epidemiology
Conjunctivitis - etiology
Conjunctivitis - physiopathology
Dermatitis, Atopic - complications
Dermatitis, Atopic - microbiology
Dermatitis, Atopic - physiopathology
Endocarditis, Bacterial - epidemiology
Endocarditis, Bacterial - etiology
Endocarditis, Bacterial - physiopathology
Female
Humans
Incidence
Male
Pneumonia, Staphylococcal - epidemiology
Pneumonia, Staphylococcal - etiology
Pneumonia, Staphylococcal - physiopathology
Prognosis
Risk Assessment
Sex Distribution
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Staphylococcus aureus - isolation & purification
United States - epidemiology
title Serious Complications from Staphylococcal aureus in Atopic Dermatitis
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