1/5. Hyperimmunoglobulin E syndrome.Hyperimmunoglobulin E (HIE) syndrome is a primary immunodeficiency disorder characterized by recurrent bacterial infections in presence of very high serum Ig E levels. We are reporting a nine-year-old child with HIE syndrome and reviewing literature on this disease.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
2/5. Acute suppurative thyroiditis after fine-needle aspiration causing thyrotoxicosis.A case of thyrotoxicosis caused by acute suppurative thyroiditis after repeated fine-needle aspiration (FNA) is described. A 39-year-old woman with atopic dermatitis showed rapid enlargement of a left thyroid cyst after a third FNA. She had a high fever, painful swelling of the left thyroid, and elevated thyroid hormone levels. ultrasonography revealed abscess formation in the left thyroid cyst. The cytologic examination of an FNA specimen showed abundant neutrophils, and culture of the aspirate yielded staphylococcus aureus. Because antibiotic treatment for 1 month failed to improve the inflammatory findings, the patient subsequently underwent left thyroid lobectomy, which resulted in the normalization of thyroid function and the resolution of inflammation. Thyroid infection had possibly been induced by needle-track seeding, because atopic skin favors colonization by S. aureus because of local immunologic deficiency. FNA is a useful and safe technique for aspirating fluid from thyroid cysts, but special care is required in patients with atopic dermatatis to avoid bacterial infection.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
3/5. eczema herpeticum: atopic dermatitis complicated by primary herpetic gingivostomatitis.Various aspects of eczema herpeticum are discussed, and a case of eczema herpeticum secondary to atopic dermatitis complicated by primary herpetic gingivostomatitis in a young adult is presented. The lesions cleared, and the patient was discharged after treatment via a multiphasic approach directed at the management of pyrexia, prevention of secondary bacterial infections, symptomatic and supportive care for the effects of the viral infection, and close monitoring for evidence of visceral viremia.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
4/5. Eosinophilic panniculitis: diagnostic considerations and evaluation.BACKGROUND: Eosinophilic panniculitis is characterized by a prominent infiltration of subcutaneous fat with eosinophils. It has been identified in patients who have a variety of associated clinical conditions. OBJECTIVE: Our purpose was to describe clinical conditions associated with eosinophilic panniculitis. methods: We describe five patients with eosinophilic panniculitis. These patients had a variety of clinical conditions including arthropod bites, gnathostomiasis, and polyarteritis nodosa. We review the literature on patients with eosinophilic panniculitis. RESULTS: Eosinophilic panniculitis most often presents as a nodule. gnathostomiasis, leukocytoclastic vasculitis, and erythema nodosum appear to be the most common conditions associated with eosinophilic panniculitis. Other disorders include atopic and contact dermatitis, eosinophilic cellulitis, injection granuloma, arthropod bites, streptococcal and other bacterial infections, toxocariasis, B- and T-cell lymphoma, and refractory anemia with excess blasts. CONCLUSION: Once a diagnosis of eosinophilic panniculitis has been established, appropriate evaluation for an associated clinical condition should be performed.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
5/5. Treatment of atopic dermatitis in children: the importance of skin care and environmental control.A 5-year-old female with severe atopic dermatitis with secondary bacterial infection is presented. The patient had been managed with topical steroids and anti-allergic drugs for several months prior to admission to the National Children's Hospital, tokyo. This case is reported to emphasize that drugs alone are not sufficient in treating severe atopic dermatitis. skin care and environmental control are equally important and should form a part in the management of the disease.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |