Caksen Hüseyin, Uzüm Kazim, Yüksel Saban, Ustünbaş Hasan Basri
Department of Pediatrics, Yüzüncü Yil University, Faculty of Medicine, Van, Turkey.
J Dermatol. 2002 Jan;29(1):43-5. doi: 10.1111/j.1346-8138.2002.tb00164.x.
In this article, the clinical and laboratory findings of six (15%) cases of cutaneous manifestations of 39 patients with sepsis caused by Staphylococcus aureus (S. aureus) were reviewed retrospectively. Our purpose was to determine the cutaneous manifestations in patients with sepsis caused by S. aureus. In our study, four patients had maculopapular and/or petechial/purpuric rashes, and two had erythematous lesions (one of them also had pustular lesions, and the other had furuncles). Aside from these, all patients had one or more systemic involvement such as bronchopneumonia, arthritis, osteomyelitis, or cardiac involvement. In conclusion, our findings suggest that there are no skin findings specific to staphylococcal sepsis and that pulmonary infections appear to have a high correlation with cutaneous findings, because all of our patients had evidence of bronchopneumonia. The mortality of staphylococcal sepsis associated with cutaneous findings appears to be high.
本文回顾性分析了39例金黄色葡萄球菌败血症患者中6例（15%）皮肤表现的临床及实验室检查结果。我们的目的是确定金黄色葡萄球菌败血症患者的皮肤表现。在我们的研究中，4例患者出现斑丘疹和/或瘀点/紫癜疹，2例出现红斑性皮损（其中1例还伴有脓疱性皮损，另1例有疖肿）。除此之外，所有患者均有一项或多项全身受累情况，如支气管肺炎、关节炎、骨髓炎或心脏受累。总之，我们的研究结果表明，没有特定于葡萄球菌败血症的皮肤表现，且肺部感染似乎与皮肤表现高度相关，因为我们所有患者均有支气管肺炎的证据。伴有皮肤表现的葡萄球菌败血症死亡率似乎很高。
