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American Journal of Medical Case Reports. 2022, 10(4), 110-112
DOI: 10.12691/AJMCR-10-4-6
Case Report

Staphylococcus lugdunensis Bacteremia Accompanying Staphylococcal Scalded Skin Syndrome like Skin Lesions

Ken-ichi Muramatsu1, Hiroki Nagasawa1, Kouhei Ishikawa1, Soichiro Ota1, Hiromichi Ohsaka1, Kei Jitsuiki1 and Youichi Yanagawa1,

1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University

Pub. Date: April 23, 2022
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Cite this paper

Ken-ichi Muramatsu, Hiroki Nagasawa, Kouhei Ishikawa, Soichiro Ota, Hiromichi Ohsaka, Kei Jitsuiki and Youichi Yanagawa. Staphylococcus lugdunensis Bacteremia Accompanying Staphylococcal Scalded Skin Syndrome like Skin Lesions. American Journal of Medical Case Reports. 2022; 10(4):110-112. doi: 10.12691/AJMCR-10-4-6

Abstract

A 75-year-old man with unconsciousness in supine position was found in his garden by a local welfare officer in summer season. His clothes were normal with long pants. He had diabetes mellitus, cerebral infarction, and prostate hypertrophy treated by drugs. His activities of daily living was independent and lived alone. His mother died of stroke and father died of heart disease. When emergence medical technicians checked him, he was in coma, shock and hyperthermic state so that he was transported to our hospital after undergoing tracheal intubation and rapid infusion of cooled lactated Ringer fluid by a dispatched physician. On arrival, he had multiple blisters and erosions on bilateral medial side of thighs and front side of legs. He underwent diagnosis of septic shock, aspiration pneumonia and unknown cause of bilateral leg skin lesions after examinations. He underwent antibiotics and vasopressor in intensive care unit. All skin lesions were managed by ointment. His unstable circulation and respiratory failure improved and was extubated in the day 6. Result of blood culture on arrival was Staphylococcus lugdunensis. He complained legs pain after extubation. All skin lesions in bilateral legs became eschar. He underwent escharotomy and skin draft on day 20 and became temporally septic shock again during operation. He underwent antibiotics again. After control of skin lesions, he was transferred to the other hospital for rehabilitation. The present study demonstrated a case of Staphylococcus lugdunensis bacteremia accompanying staphylococcal scalded skin syndrome like skin lesions. Further study is needed to understand the skin lesions induced by Staphylococcus lugdunensis.

Keywords

Staphylococcus lugdunensis, septic shock, staphylococcal scalded skin syndrome

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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