Childhood pustular psoriasis associated with Panton-Valentine leukocidin-producing Staphylococcus aureus

Guillaume Pouessel1, Hubert Ythier, Olivier Carpentier

  • 1Department of Paediatrics, Victor Provo Hospital, Roubaix, France. guillaume.pouessel@ch-roubaix.fr

Pediatric Dermatology
|September 12, 2007
PubMed

Insights

This study links generalized pustular psoriasis to Staphylococcus aureus producing Panton-Valentine leukocidin in a child and their family. It highlights a novel bacterial toxin association with this severe skin condition.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Generalized pustular psoriasis is a severe inflammatory skin condition with various potential triggers.
  • Staphylococcus aureus infections are common, but their specific role in generalized pustular psoriasis requires further investigation.

Observation:

  • A 5-year-old child presented with generalized pustular psoriasis.
  • The child was infected with Staphylococcus aureus that produced Panton-Valentine leukocidin (PVL).
  • Three family members also had skin lesions and carried the same PVL-producing S. aureus strain.

Findings:

  • This is the first report associating Panton-Valentine leukocidin-producing Staphylococcus aureus with generalized pustular psoriasis.
  • The presence of the same bacterial strain in multiple family members suggests potential transmission and a role in cutaneous manifestations.

Implications:

  • The findings suggest a potential causal link between PVL-producing S. aureus and generalized pustular psoriasis.
  • This association may open new avenues for understanding and treating severe skin conditions.
  • Further research is warranted to elucidate the pathogenic mechanisms of PVL in skin inflammation.

Related Concept Videos

Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Chickenpox01:20

Chickenpox

Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Smallpox01:24

Smallpox

Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...