Infective Endocarditis Associated with Atopic Dermatitis. |
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Abstract | We report a case of aortic valve infective endocarditis (IE) in a 24-year-old man with atopic dermatitis (AD). He had a history of balloon valvuloplasty for a stenotic bicuspid aortic valve, and had dental caries but no invasive dental procedure before the onset of IE. On admission, skin lesions of AD with itching and scratches were found on the neck, trunk, and extremities. Echocardiography showed a vegetation on the aortic valve with mild steno-regurgitation, but extension of IE to the annulus was not detected. Magnetic resonance imaging identified fresh cerebral infarction without neurological dysfunction, leading us to suspect an embolism. Blood cultures grew methicillin-sensitive Staphylococcus aureus. During emergency surgery, a vegetation attached to the conjoined cusp was observed, and the aortic valve was replaced with a mechanical valve. The patient recovered uneventfully without any complications such as recurrent IE or mediastinitis. We also review previously reported cases of IE associated with AD. |
PMID | 29563378 |
Related Publications |
Prosthetic Valve Endocarditis using Immunosuppressive Agent for Atopic Dermatitis;Report of a Case. Atopic dermatitis as a risk factor for acute native valve endocarditis. |
Authors | |
Mayor MeshTerms | |
Keywords | |
Journal Title | international heart journal |
Publication Year Start | 2018-01-01 |
PMID- 29563378 OWN - NLM STAT- MEDLINE DCOM- 20180406 LR - 20180406 IS - 1349-3299 (Electronic) IS - 1349-2365 (Linking) VI - 59 IP - 2 DP - 2018 Mar 30 TI - Infective Endocarditis Associated with Atopic Dermatitis. PG - 420-423 LID - 10.1536/ihj.17-078 [doi] AB - We report a case of aortic valve infective endocarditis (IE) in a 24-year-old man with atopic dermatitis (AD). He had a history of balloon valvuloplasty for a stenotic bicuspid aortic valve, and had dental caries but no invasive dental procedure before the onset of IE. On admission, skin lesions of AD with itching and scratches were found on the neck, trunk, and extremities. Echocardiography showed a vegetation on the aortic valve with mild steno-regurgitation, but extension of IE to the annulus was not detected. Magnetic resonance imaging identified fresh cerebral infarction without neurological dysfunction, leading us to suspect an embolism. Blood cultures grew methicillin-sensitive Staphylococcus aureus. During emergency surgery, a vegetation attached to the conjoined cusp was observed, and the aortic valve was replaced with a mechanical valve. The patient recovered uneventfully without any complications such as recurrent IE or mediastinitis. We also review previously reported cases of IE associated with AD. FAU - Aoyagi, Shigeaki AU - Aoyagi S AD - Department of Cardiovascular Surgery, St. Mary's Hospital. FAU - Oda, Takeshi AU - Oda T AD - Department of Cardiovascular Surgery, St. Mary's Hospital. FAU - Wada, Kumiko AU - Wada K AD - Department of Cardiovascular Surgery, St. Mary's Hospital. FAU - Nakamura, Eiji AU - Nakamura E AD - Department of Cardiovascular Surgery, St. Mary's Hospital. FAU - Kosuga, Tomokazu AU - Kosuga T AD - Department of Cardiovascular Surgery, St. Mary's Hospital. FAU - Yasunaga, Hiroshi AU - Yasunaga H AD - Department of Cardiovascular Surgery, St. Mary's Hospital. LA - eng PT - Case Reports PT - Journal Article DEP - 20180320 PL - Japan TA - Int Heart J JT - International heart journal JID - 101244240 SB - IM MH - Dermatitis, Atopic/*complications MH - Endocarditis, Bacterial/*diagnosis/*etiology/therapy MH - Humans MH - Male MH - Young Adult OTO - NOTNLM OT - Embolism OT - Skin lesion colonization OT - Staphylococcus aureus OT - Stroke OT - Valve disease EDAT- 2018/03/23 06:00 MHDA- 2018/04/07 06:00 CRDT- 2018/03/23 06:00 PHST- 2018/03/23 06:00 [pubmed] PHST- 2018/04/07 06:00 [medline] PHST- 2018/03/23 06:00 [entrez] AID - 10.1536/ihj.17-078 [doi] PST - ppublish SO - Int Heart J. 2018 Mar 30;59(2):420-423. doi: 10.1536/ihj.17-078. Epub 2018 Mar 20.