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Staphylococcus aureus Bacteremia Complicated by Psoas Abscess and Infective Endocarditis in a Patient with Atopic

Ichiro Tsuboi1, Tetsuya Yumoto2, Tatsuya Toyokawa1

  • 1Department of Gastroenterology, National Hospital Organization Fukuyama Medical Center, 4-14-17, Okinogamicho, Fukuyama-shi, Hiroshima 720-8520, Japan.

Case Reports in Infectious Diseases
|January 30, 2018
PubMed

Insights

Atopic dermatitis patients can develop severe Staphylococcus aureus infections. This case highlights a rare instance of S. aureus bacteremia complicated by psoas abscess and infective endocarditis in an atopic dermatitis patient.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Cardiology

Background:

  • Atopic dermatitis (AD) is linked to increased risk of Staphylococcus aureus colonization.
  • Staphylococcus aureus bacteremia can lead to severe invasive infections.

Observation:

  • A patient with a history of atopic dermatitis presented with symptoms of S. aureus bacteremia.
  • The patient developed acute cardiac failure and infective endocarditis (IE).
  • A concurrent psoas abscess complicated the S. aureus infection.

Findings:

  • This is the first reported case of S. aureus bacteremia complicated by both psoas abscess and infective endocarditis in an atopic dermatitis patient.
  • Successful treatment involved surgical intervention for cardiac lesions and psoas abscess drainage, alongside intensive antibiotics.

Implications:

  • Highlights the potential for severe invasive S. aureus infections in atopic dermatitis patients.
  • Emphasizes the need for heightened clinical awareness of this association.
  • Underscores the importance of prompt diagnosis and aggressive management of S. aureus infections in AD patients.

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