A case of atopic dermatitis with infective endocarditis

Kawahara Saho, Mikumo Ayako, Toyoda Mito, Makiko Nakahara, Shibata Kikuchi Satoko, Masutaka Furue

Research output: Contribution to journalArticle

Abstract

A 34-year-old woman with atopic dermatitis was presented to our hospital with fever, visual field defect, purpura and hemorrhagic blisters on both palms and soles. We detected methicillin-sensitive Staphylococcus aureus (MSSA) by culturing blister fluid and circulating blood. Transthoracic echocardiography showed a growth on the mitral valve and mitral regurgitation, indicating a diagnosis of infective endocarditis. As she also suffered a cerebral infarction due to bacterial embolization, surgical intervention was undertaken to cure the infective endocarditis. Only 10 cases of atopic dermatitis with infective endocarditis have been reported in Japan. All of these patients had severe atopic dermatitis with Staphylococcus aureus infection. As Staphylococcus aureus is frequently found colonized on the skin surface of atopic dermatitis patients, it is likely that destruction of the skin barrier may cause sepsis leading to infective endocarditis. In order to avoid these serious complications, it is important to treat the atopic dermatitis appropriately according to standard therapeutic guideline.

Original languageEnglish
Pages (from-to)491-495
Number of pages5
JournalNishinihon Journal of Dermatology
Volume75
Issue number6
DOIs
Publication statusPublished - 2013

Fingerprint

Atopic Dermatitis
Endocarditis
Staphylococcus aureus
Mitral Valve Insufficiency
Blister
Skin
Methicillin
Purpura
Cerebral Infarction
Visual Fields
Echocardiography
Sepsis
Japan
Fever
Guidelines
Growth
Infection

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

A case of atopic dermatitis with infective endocarditis. / Saho, Kawahara; Ayako, Mikumo; Mito, Toyoda; Nakahara, Makiko; Satoko, Shibata Kikuchi; Furue, Masutaka.

In: Nishinihon Journal of Dermatology, Vol. 75, No. 6, 2013, p. 491-495.

Research output: Contribution to journalArticle

Saho, Kawahara ; Ayako, Mikumo ; Mito, Toyoda ; Nakahara, Makiko ; Satoko, Shibata Kikuchi ; Furue, Masutaka. / A case of atopic dermatitis with infective endocarditis. In: Nishinihon Journal of Dermatology. 2013 ; Vol. 75, No. 6. pp. 491-495.
@article{62cdfa3bfc42483c873299e9fc1be6f8,
title = "A case of atopic dermatitis with infective endocarditis",
abstract = "A 34-year-old woman with atopic dermatitis was presented to our hospital with fever, visual field defect, purpura and hemorrhagic blisters on both palms and soles. We detected methicillin-sensitive Staphylococcus aureus (MSSA) by culturing blister fluid and circulating blood. Transthoracic echocardiography showed a growth on the mitral valve and mitral regurgitation, indicating a diagnosis of infective endocarditis. As she also suffered a cerebral infarction due to bacterial embolization, surgical intervention was undertaken to cure the infective endocarditis. Only 10 cases of atopic dermatitis with infective endocarditis have been reported in Japan. All of these patients had severe atopic dermatitis with Staphylococcus aureus infection. As Staphylococcus aureus is frequently found colonized on the skin surface of atopic dermatitis patients, it is likely that destruction of the skin barrier may cause sepsis leading to infective endocarditis. In order to avoid these serious complications, it is important to treat the atopic dermatitis appropriately according to standard therapeutic guideline.",
author = "Kawahara Saho and Mikumo Ayako and Toyoda Mito and Makiko Nakahara and Satoko, {Shibata Kikuchi} and Masutaka Furue",
year = "2013",
doi = "10.2336/nishinihonhifu.75.491",
language = "English",
volume = "75",
pages = "491--495",
journal = "Nishinihon Journal of Dermatology",
issn = "0386-9784",
publisher = "Kyushu University, Faculty of Science",
number = "6",

}

TY - JOUR

T1 - A case of atopic dermatitis with infective endocarditis

AU - Saho, Kawahara

AU - Ayako, Mikumo

AU - Mito, Toyoda

AU - Nakahara, Makiko

AU - Satoko, Shibata Kikuchi

AU - Furue, Masutaka

PY - 2013

Y1 - 2013

N2 - A 34-year-old woman with atopic dermatitis was presented to our hospital with fever, visual field defect, purpura and hemorrhagic blisters on both palms and soles. We detected methicillin-sensitive Staphylococcus aureus (MSSA) by culturing blister fluid and circulating blood. Transthoracic echocardiography showed a growth on the mitral valve and mitral regurgitation, indicating a diagnosis of infective endocarditis. As she also suffered a cerebral infarction due to bacterial embolization, surgical intervention was undertaken to cure the infective endocarditis. Only 10 cases of atopic dermatitis with infective endocarditis have been reported in Japan. All of these patients had severe atopic dermatitis with Staphylococcus aureus infection. As Staphylococcus aureus is frequently found colonized on the skin surface of atopic dermatitis patients, it is likely that destruction of the skin barrier may cause sepsis leading to infective endocarditis. In order to avoid these serious complications, it is important to treat the atopic dermatitis appropriately according to standard therapeutic guideline.

AB - A 34-year-old woman with atopic dermatitis was presented to our hospital with fever, visual field defect, purpura and hemorrhagic blisters on both palms and soles. We detected methicillin-sensitive Staphylococcus aureus (MSSA) by culturing blister fluid and circulating blood. Transthoracic echocardiography showed a growth on the mitral valve and mitral regurgitation, indicating a diagnosis of infective endocarditis. As she also suffered a cerebral infarction due to bacterial embolization, surgical intervention was undertaken to cure the infective endocarditis. Only 10 cases of atopic dermatitis with infective endocarditis have been reported in Japan. All of these patients had severe atopic dermatitis with Staphylococcus aureus infection. As Staphylococcus aureus is frequently found colonized on the skin surface of atopic dermatitis patients, it is likely that destruction of the skin barrier may cause sepsis leading to infective endocarditis. In order to avoid these serious complications, it is important to treat the atopic dermatitis appropriately according to standard therapeutic guideline.

UR - http://www.scopus.com/inward/record.url?scp=84902466856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84902466856&partnerID=8YFLogxK

U2 - 10.2336/nishinihonhifu.75.491

DO - 10.2336/nishinihonhifu.75.491

M3 - Article

VL - 75

SP - 491

EP - 495

JO - Nishinihon Journal of Dermatology

JF - Nishinihon Journal of Dermatology

SN - 0386-9784

IS - 6

ER -