Tsuboi Ichiro, Yumoto Tetsuya, Toyokawa Tatsuya, Matsueda Katsunori, Horii Joichiro, Naito Hiromichi, Nakao Atsunori
Department of Gastroenterology, National Hospital Organization Fukuyama Medical Center, 4-14-17, Okinogamicho, Fukuyama-shi, Hiroshima 720-8520, Japan.
Advanced Emergency and Critical Care Medical Center, Okayama University Hospital, 2-5-1 Kita-ku, Shikata-cho, Okayama-shi, Okayama 700-8558, Japan.
Case Rep Infect Dis. 2017;2017:4920182. doi: 10.1155/2017/4920182. Epub 2017 Dec 10.
The close relationship between atopic dermatitis (AD) and infective endocarditis (IE) has been implicated. colonization is frequently seen observed in AD patients' skin lesions. Although a case of IE due to bacteremia in an AD patient has been sporadically reported, a case of bacteremia complicated by psoas abscess and IE has not been previously reported. A 42-year-old man with a history of AD presented to our hospital complaining of fever, fatigue, chills, lower right back pain, and poor appetite for a week. His blood cultures showed growth of . On day 3, the patient presented acute cardiac failure and was diagnosed with IE based on echocardiogram examination. Since the patient's cardiac failure did not respond to medication, an emergency surgery was performed on the fourth day of hospitalization. The patient underwent successful surgical treatment of the heart lesions and subsequent percutaneous drainage of psoas abscess and received intensive antibiotics, which successfully improved his condition. Our report emphasizes awareness of the association between AD and invasive infections.
特应性皮炎（AD）与感染性心内膜炎（IE）之间的密切关系已被提及。在AD患者的皮肤病变中经常观察到细菌定植。虽然偶有报道AD患者因菌血症导致IE的病例，但菌血症并发腰大肌脓肿和IE的病例此前尚未见报道。一名有AD病史的42岁男性因发热、乏力、寒战、右下腹疼痛和食欲不振一周前来我院就诊。他的血培养显示[具体细菌名称未给出]生长。第3天，患者出现急性心力衰竭，经超声心动图检查诊断为IE。由于患者的心力衰竭对药物治疗无反应，住院第4天进行了急诊手术。患者心脏病变接受了成功的手术治疗，随后腰大肌脓肿进行了经皮引流，并接受了强化抗生素治疗，病情成功改善。我们的报告强调了对AD与侵袭性感染之间关联的认识。
