Atopic Dermatitis With Group A β-Hemolytic Streptococcus Skin Infection Complicated by Posterior Reversible Encephalopathy Syndrome

Park, Jin Mo; Oh, Sang Ho; Kim, Jinna; Lee, Ju Hee

doi:10.1001/archdermatol.2009.129

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Streptococcal infection is associated with severe AD [96] and may result in complications including acute poststreptococcal glomerulonephritis, hypertension and posterior reversible encephalopathy syndrome [97]. Molluscum contagiosum (MC) virus belongs to the family of poxviruses.…”

Section: The Role Of Other Microbial Pathogens In Admentioning

confidence: 99%

The Infectious Aspects of Atopic Dermatitis

Ong

Leung

2010

Immunology and Allergy Clinics of North America

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SynopsisAtopic dermatitis is characterized by S. aureus colonization and recurrent skin infections. In addition to an increased risk of invasive infections by herpes simplex or vaccinia viruses, there is ample evidence that microbial pathogens, particularly S. aureus and fungi, contribute to the cutaneous inflammation of atopic dermatitis. We describe recent developments in the pathogenesis of atopic dermatitis in relation to the role of microbial pathogens. Understanding how microbial pathogens interact or evade the cutaneous immunity of atopic dermatitis may be crucial in preventing infections or cutaneous inflammation in this disease.

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Section: The Role Of Other Microbial Pathogens In Admentioning

confidence: 99%

The Infectious Aspects of Atopic Dermatitis

Ong

Leung

2010

Immunology and Allergy Clinics of North America

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“…The close association of PRES with Gram-positive bacteria may be due to the superantigens produced by these bacteria [ 12 ]. There are some rare case reports of acute poststreptococcal glomerulonephritis complicated by PRES in children [ 26 , 27 ]. Hypertension occurs in most patients with glomerulonephritis, and strict control of hyper-tension is recommended.…”

Section: Discussionmentioning

confidence: 99%

Invasive Group G Streptococcal Infection Complicated by Posterior Reversible Encephalopathy Syndrome: A Case Report

Nakamura,

Adachi,

Uno

et al. 2023

Am J Case Rep

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Patient: Male, 89-year-old Final Diagnosis: Disseminated intravascular coagulation • duodenal ulcer • invasive group G streptococcal infection • posterior reversible encephalopathy syndrome Symptoms: Blood pressure drop • right shoulder pain • tarry stool Clinical Procedure: — Specialty: Infectious Diseases Objective: Rare coexistence of disease or pathology Background: Group G streptococcus (GGS) infection is reported to have invasive pathogenicity similar to that of group A streptococcus (GAS) infection, causing a strong systemic inflammatory response with bacteremia and various complications. Herein, we report a case of posterior reversible encephalopathy syndrome (PRES) as a rare complication of a GGS infection. Case Report: An 89-year-old Japanese man presented to our hospital with gastrointestinal bleeding and shoulder pain. Close examination revealed a refractory duodenal ulcer (DU) with disseminated intravascular coagulation and soft tissue infection of the right arm, which was found to be caused by GGS. A hemorrhagic tendency due to disseminated intravascular coagulation made it difficult to achieve hemostasis, leading to repeated blood transfusions. Although remission of both the DU and infection was achieved with treatment, impairment of swallowing function and vision subsequently appeared. Magnetic resonance imaging revealed hyperintense lesions with elevated apparent diffusion coefficient (ADC) values on T2-weighted imaging (T2WI), fluid-attenuated inversion recovery (FLAIR), and diffusion-weighted imaging (DWI). The patient was diagnosed with PRES, which did not improve even after discharge on day 118. Conclusions: GGS infection developed with refractory duodenal ulcer bleeding, resulting in PRES with irreversible sequelae. The occurrence of PRES, which may be a rare complication of GGS infection, should be considered when central nervous system manifestations are observed in case of invasive streptococcal infection with a systemic inflammatory response.

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“…Bronchial asthma, Non Steroidal Anti Inflammatory Drugs (NSAID)-induced acute tubular interstitial nephritis, atopic dermatitis with group A beta-hemolytic streptococcus skin infection, sickle cell disease, and also tumor lysis. [4–10]…”

Section: Discussionmentioning

confidence: 99%