A FATAL CASE OF ECZEMA HERPETICUM WITH SEPTIC SHOCK DUE TO METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS.
A 62-year-old woman treated with several courses of corticosteroids for an undifferentiated rash came to the emergency department with progressively worsening cutaneous signs and symptoms and generalized weakness. She had scabies, and despite treatment continued to decompensate. Repeat skin biopsies...
| Publicado en: | American Journal of Critical Care Vol. 25; no. 4; pp. 379 - 383 |
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| Autores principales: | , , , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jul2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116207604&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116207604 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jul2016 vid: 25 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 116207604 116207604 116207604 10.4037/ajcc2016495 116207604 ppf: 379 ppct: 4 formats: fmt: @attributes: type: P tig: atl: A FATAL CASE OF ECZEMA HERPETICUM WITH SEPTIC SHOCK DUE TO METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS. aug: au: Tupe, Christina L. Weiler, Bethany A. Verceles, Avelino C. McCurdy, Michael T. affil: Clinical instructor, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland sug: subj: Eczema Complications Shock, Septic Etiology Methicillin Resistance Staphylococcal Infections Staphylococcus Aureus Herpesvirus Infections Immunocompromised Host Middle Age Female Exanthema Scabies Biopsy Prednisone Administration and Dosage Staining and Labeling Death Middle Aged: 45-64 years Female ab: A 62-year-old woman treated with several courses of corticosteroids for an undifferentiated rash came to the emergency department with progressively worsening cutaneous signs and symptoms and generalized weakness. She had scabies, and despite treatment continued to decompensate. Repeat skin biopsies revealed disseminated herpes simplex virus infection, and results of blood cultures were consistent with infection by methicillin-resistant Staphylococcus aureus. Despite antiviral and antimicrobial therapy, sepsis and multiorgan failure developed, and the patient died. This case illustrates the complications of the rare entity eczema herpeticum, which occurs most often in immunocompromised patients and is associated with a high mortality. Maintaining a high index of suspicion for this disease in decompensating patients with an unidentified rash is essential to avoid catastrophic outcomes. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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