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1/44. A case of guttate psoriasis following Kawasaki disease.

    We report a case of guttate psoriasis following Kawasaki disease, in a patient with Staphylococcus aureus demonstrated in a throat swab. We suggest that preceding staphylococcal infection can play a key role in the pathogenesis of some cases of guttate psoriasis, possibly by the production of superantigens.
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ranking = 1
keywords = infection
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2/44. Atopic dermatitis as a risk factor for acute native valve endocarditis.

    Colonization of Staphylococcus aureus is commonly observed in skin lesions of atopic dermatitis (AD) patients, and scratching of the pruritic lesions may lead to reiterative bacteremia. It is possible that acute native valve endocarditis may develop in a patient with uncontrolled AD; the latter condition may be a risk factor for the former. We report two cases of acute aortic and/or mitral valve endocarditis complicated with recurrent cutaneous infections caused by severe AD. The patients underwent successful surgical treatment of the heart lesions, plus intensive postoperative antibiotics and skin treatment for AD.
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keywords = infection
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3/44. Specific cutaneous infiltrate caused by Staphylococcus aureus in a patient with chronic myelomonocytic leukemia.

    We present a patient with chronic myelomonocytic leukemia who showed disseminated papules and nodules. Arguments in favor of leukemia cutis are the clinical appearance, the cyclic pattern with which the lesions appeared and disappeared, and the histologic features. The lesions reproducibly responded to treatment with antibiotics given for a Staphylococcus aureus infection. We speculate that at least in some patients, leukemic cells are recruited in the skin because of local infection and do not merely reflect autonomous growth but an inflammatory response.
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ranking = 2
keywords = infection
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4/44. Cutaneous botryomycosis of the cervicofacial region.

    BACKGROUND: Botryomycosis is a rare, chronic, bacterial infection of insidious onset involving the integument or viscera that often mimics actinomycosis or a deep fungal infection. The pathogenesis is thought to be a symbiotic relationship between the host and the infecting organism. methods: Case report of a patient with a chronic infection involving the cervicofacial region diagnosed as cutaneous botryomycosis arising from a chronic osteomyelitis of the mandible. The diagnosis was based on the chronicity of the infection along with the identification of botryomycotic (bacteria-containing) granules on histopathologic examination. Special stains excluded fungi and mycobacterium. Cultures identified the offending bacteria, and antibiotic therapy was initiated on the basis of the sensitivities, resulting in resolution of this chronic infectious process. A review of the English language literature revealed that this is the first case of cutaneous botryomycosis arising from a chronic osteomyelitis of the mandible. RESULTS: Medical therapy proved curative at 14 months follow-up. Surgery was performed for diagnostic purposes only. CONCLUSIONS: Botryomycosis is exceedingly rare in the head and neck, and consideration of this entity in the differential diagnosis is critical to the diagnosis. The mainstay of therapy is medical with surgery reserved for biopsy and/or excision of persistent disease. Published 2001 John Wiley & Sons, Inc.
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ranking = 7984.9933530124
keywords = bacterial infection, infection
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5/44. The desire to be fashionable. Should we consider it a risk factor for infection in adolescents with acute leukaemia?

    Three cases of skin infection, two with pseudomonas aeruginosa and one with Staphylococcus aureus in three adolescents with acute leukaemia are described. In all cases the infection was clearly related to the latest fashion in shoes. This report underline the fact that factors related to everyday life and less frequently considered than those related to the underlying illness can also put increase the risk of developing severe infections in immunocompromised patients.
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ranking = 7
keywords = infection
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6/44. Coexistent infections on a child's distal phalanx: blistering dactylitis and herpetic whitlow.

    We report a case of coexistent Staphylococcus aureus and herpes simplex virus (HSV) infections responsible for a bullous and vesicular eruption on a child's distal phalanx. Blistering distal dactylitis (BDD), a superficial infection of the distal portion of the finger, is seen most commonly in children and is caused by either beta-hemolytic streptococci or S aureus. Herpetic whitlow, also a blistering infection found on children's distal fingers, is a bacteriologic sterile infection caused by HSV-1 or HSV-2. In this report, we note that these infections may coexist on the distal phalanx. This case has implications for diagnosis and treatment of children's blistering hand diseases.
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ranking = 9
keywords = infection
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7/44. Irritant contact dermatitis complicated by deep-seated staphylococcal infection caused by a hair relaxer.

    Chemical hair relaxers are used by many women to straighten their hair. We describe a case of a deep soft tissue staphylococcal abscess that complicated an irritant contact dermatitis from a hair relaxer treatment.
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ranking = 4
keywords = infection
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8/44. The importance of disinfection therapy using povidone-iodine solution in atopic dermatitis.

    The combination of the local disinfection therapy against Staphylococcus aureus with the conventional therapy for atopic dermatitis has been widely used, and the improvement in skin lesions has been reported to be associated with a remarkable decrease in IgE levels and reagin antibody titers. We have already reported that affected organs were not only the skin but also the gastrointestinal tract in a case with atopic dermatitis. In the present study, the duodenal tissues were examined by biopsy in 32 patients with atopic dermatitis, and mild or chronic duodenitis was observed in all samples. Toxins were examined by PCR from 180 Staphylococcus aureus strains obtained from our patients. The detection rate of toxins was 82.8%. In many patients, antitoxin IgE antibody titers corresponding to their types of toxin and IgE levels were decreased in a parallel manner as time passed. We found 1 patient who complained of paresthesia in all four limbs, and her neurological and radiological examinations showed moderate cervical spondylosis. Neurological examinations revealed some abnormalities in 43 out of 50 patients with atopic dermatitis, such as hyperreflexia of the legs. Cervical MRI was carried out randomly and showed abnormal findings in 21 of 25 patients, in whom 18 duodenal tissues were examined by biopsies.
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ranking = 5
keywords = infection
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9/44. Breastfeeding and Staphylococcus aureus: three case reports.

    This paper presents three case reports of breastfeeding women with Staphylococcus aureus (S. aureus) infections. The first case is a woman who developed recurrent staphylococcal skin infections, misdiagnosed as a fungal infection by her caregivers. The second case is a woman who experienced recurrent mastitis following a severe wound infection in her caesarean section scar; both she and her baby were carriers of S. aureus. The third case is a woman who experienced mastitis and a breast abscess, while her baby and other members of the family developed recurrent boils and skin infections with a methicillin-resistant S. aureus (MRSA). A wide range of staphylococcal infections may occur in the postpartum period: mastitis, abscess, caesarean scar infection, boils and skin infection. Some cases of recurrent infections may be related to nasal carriage in mother or infant. microscopy can be useful in differentiating bacterial infections from fungal infections and confirming nasal carriage. When mothers or infants are nasal carriers of Staphylococci health professionals may recommend nasal mupirocin (Bactroban) and bathing with antiseptic washes to reduce recurrent staphylococcal infections.
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ranking = 7992.9933530124
keywords = bacterial infection, infection
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10/44. Healing of an MRSA-colonized, hydroxyurea-induced leg ulcer with honey.

    BACKGROUND: With the everincreasing emergence of antibiotic-resistant pathogens, in particular methicillin-resistant staphylococcus aureus (MRSA) in leg ulcers, a means of reducing the bacterial bioburden of such ulcers, other than by the use of either topical or systemic antibiotics, is urgently required. methods: We report the case of an immunosuppressed patient who developed a hydroxyurea-induced leg ulcer with subclinical MRSA infection which was subsequently treated with topical application of manuka honey, without cessation of hydroxyurea or cyclosporin. RESULTS: MRSA was eradicated from the ulcer and rapid healing was successfully achieved. CONCLUSION: honey is recognized to have antibacterial properties, and can also promote effective wound healing. A traditional therapy, therefore, appears to have enormous potential in solving new problems.
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ranking = 1
keywords = infection
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