Bunker Daniel R, Sullivan Timothy
Department of Medicine, Division of Rheumatology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Department of Medicine, Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Case Rep Infect Dis. 2016;2016:1093453. doi: 10.1155/2016/1093453. Epub 2016 May 29.
Importance. Infections can cause leukocytoclastic vasculitis. Observations. We report the case of a patient with a left ventricular assist device who presented with acute kidney injury and biopsy proven leukocytoclastic vasculitis. Blood cultures grew Listeria monocytogenes. The patient's rash improved with treatment of the underlying Listeria infection. Conclusion. Clinicians should be aware that there are a number of broad categories of disease associated with the histologic finding of vasculitis, including infection. It is important to keep in mind the risk factors of a particular patient when formulating a differential diagnosis. This is the first reported case of Listeria bacteremia causing leukocytoclastic vasculitis.
重要性。感染可导致白细胞破碎性血管炎。观察结果。我们报告了一例使用左心室辅助装置的患者，该患者出现急性肾损伤，活检证实为白细胞破碎性血管炎。血培养结果显示单核细胞增生李斯特菌生长。患者的皮疹在对潜在的李斯特菌感染进行治疗后有所改善。结论。临床医生应意识到，有许多大类疾病与血管炎的组织学表现相关，包括感染。在制定鉴别诊断时，牢记特定患者的危险因素很重要。这是首例报告的由李斯特菌血症引起白细胞破碎性血管炎的病例。
