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[Necrotizing folliculitis in Behçet's disease].
1Service de médecine interne, CHU de la Pitié-Salpêtrière, Université Pierre-et-Marie-Curie Paris-VI, 75651 Paris cedex 13, France. salim.trad@psl.aphp.fr
La Revue De Medecine Interne
|July 19, 2008
Summary
A Behcet's disease patient developed a severe skin infection from Staphylococcus aureus. Mandatory bacteriological analysis is crucial for accurate diagnosis when specific criteria are absent.
Area of Science:
- Dermatology
- Infectious Diseases
- Rheumatology
Background:
- Behcet's disease is a chronic inflammatory disorder.
- Patients may present with mucocutaneous lesions and systemic involvement.
- Disease flares can mimic or be complicated by infections.
Observation:
- A 24-year-old male with known Behcet's disease presented with scrotal ulceration and inguinal folliculitis.
- The folliculitis exhibited a necrotizing course.
- The patient had been lost to follow-up for one year.
Findings:
- Skin infection was diagnosed, caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).
- The identified Staphylococcus aureus strain carried Panton-Valentine leukocidin (PVL) genes.
- The clinical presentation initially suggested a Behcet's disease flare-up.
Implications:
- This case highlights the importance of considering infectious etiologies in Behcet's disease patients.
- Bacteriological analysis is essential for accurate diagnosis, especially when diagnostic criteria for Behcet's disease are not definitively met.
- Prompt identification of CA-MRSA is critical for appropriate treatment and preventing complications.
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