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 |
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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. Although reports are rare, practitioners should be aware of these important, albeit unlikely, complications of staphylococcal superinfections in individuals with AD.</description><identifier>ISSN: 0736-8046</identifier><identifier>EISSN: 1525-1470</identifier><identifier>DOI: 10.1111/pde.12665</identifier><identifier>PMID: 26337792</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Pediatric dermatology, 2015-11, Vol.32 (6), p.792-796</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4995-623bac940646ac9fe59acda47315ef4b554be521bf8668aaddf4cbee723cc1723</citedby><cites>FETCH-LOGICAL-c4995-623bac940646ac9fe59acda47315ef4b554be521bf8668aaddf4cbee723cc1723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpde.12665$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpde.12665$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26337792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patel, Devika</creatorcontrib><creatorcontrib>Jahnke, Marla N.</creatorcontrib><title>Serious Complications from Staphylococcal aureus in Atopic Dermatitis</title><title>Pediatric dermatology</title><addtitle>Pediatr Dermatol</addtitle><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.</description><subject>Adolescent</subject><subject>Age Distribution</subject><subject>Arthritis, Infectious - epidemiology</subject><subject>Arthritis, Infectious - etiology</subject><subject>Arthritis, Infectious - physiopathology</subject><subject>Bacteremia - epidemiology</subject><subject>Bacteremia - etiology</subject><subject>Bacteremia - physiopathology</subject><subject>Bacterial Toxins - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Conjunctivitis - epidemiology</subject><subject>Conjunctivitis - etiology</subject><subject>Conjunctivitis - physiopathology</subject><subject>Dermatitis, Atopic - complications</subject><subject>Dermatitis, Atopic - microbiology</subject><subject>Dermatitis, Atopic - physiopathology</subject><subject>Endocarditis, Bacterial - epidemiology</subject><subject>Endocarditis, Bacterial - etiology</subject><subject>Endocarditis, Bacterial - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Pneumonia, Staphylococcal - epidemiology</subject><subject>Pneumonia, Staphylococcal - etiology</subject><subject>Pneumonia, Staphylococcal - physiopathology</subject><subject>Prognosis</subject><subject>Risk Assessment</subject><subject>Sex Distribution</subject><subject>Staphylococcal Infections - complications</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Staphylococcus aureus - isolation & purification</subject><subject>United States - epidemiology</subject><issn>0736-8046</issn><issn>1525-1470</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtPwzAQhC0EgvI48AdQjnBI8dvNEbXlIRAgAerRcpyNMCR1sFNB_z0updzYw87lm9HuIHRM8JCkOe8qGBIqpdhCAyKoyAlXeBsNsGIyH2Eu99B-jG8Y45GUZBftUcmYUgUdoOkTBOcXMRv7tmucNb3z85jVwbfZU2-612XjrbfWNJlZBEigm2cXve-czSYQ2sT3Lh6indo0EY5-9QC9XE6fx9f53cPVzfjiLre8KEQuKSuNLTiWXCatQRTGVoYrRgTUvBSClyAoKet058iYqqq5LQEUZdaStA_Q6Tq3C_5jAbHXrYsWmsbMIT2hiWKCMSr5Cj1bozb4GAPUuguuNWGpCdar1nRqTf-0ltiT39hF2UL1R25qSsD5Gvh0DSz_T9KPk-kmMl87XOzh689hwruWiimhZ_dXejae3Bf0luhb9g1dd4Yu</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Patel, Devika</creator><creator>Jahnke, Marla N.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Serious Complications from Staphylococcal aureus in Atopic Dermatitis</title><author>Patel, Devika ; Jahnke, Marla N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4995-623bac940646ac9fe59acda47315ef4b554be521bf8668aaddf4cbee723cc1723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Age Distribution</topic><topic>Arthritis, Infectious - epidemiology</topic><topic>Arthritis, Infectious - etiology</topic><topic>Arthritis, Infectious - physiopathology</topic><topic>Bacteremia - epidemiology</topic><topic>Bacteremia - etiology</topic><topic>Bacteremia - physiopathology</topic><topic>Bacterial Toxins - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Conjunctivitis - epidemiology</topic><topic>Conjunctivitis - etiology</topic><topic>Conjunctivitis - physiopathology</topic><topic>Dermatitis, Atopic - complications</topic><topic>Dermatitis, Atopic - microbiology</topic><topic>Dermatitis, Atopic - physiopathology</topic><topic>Endocarditis, Bacterial - epidemiology</topic><topic>Endocarditis, Bacterial - etiology</topic><topic>Endocarditis, Bacterial - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Pneumonia, Staphylococcal - epidemiology</topic><topic>Pneumonia, Staphylococcal - etiology</topic><topic>Pneumonia, Staphylococcal - physiopathology</topic><topic>Prognosis</topic><topic>Risk Assessment</topic><topic>Sex Distribution</topic><topic>Staphylococcal Infections - complications</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Staphylococcus aureus - isolation & purification</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patel, Devika</creatorcontrib><creatorcontrib>Jahnke, Marla N.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patel, Devika</au><au>Jahnke, Marla N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serious Complications from Staphylococcal aureus in Atopic Dermatitis</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2015-11</date><risdate>2015</risdate><volume>32</volume><issue>6</issue><spage>792</spage><epage>796</epage><pages>792-796</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><abstract>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.</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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