Persistent bacteraemia due to methicillin-resistant Staphylococcus aureus with reduced susceptibility to vancomycin in a patient with erythrodermic psoriasis

Faris G. Bakri From the Department of Medicine, Division of Infectious Diseases, Jordan University Hospital, Amman, JordanCorrespondence[email protected]

Nisreen Abu Al-Hommos Department of Medicine, Jordan University Hospital, Amman, Jordan

Asem Shehabi Department of Pathology-Microbiology, Faculty of Medicine, University of Jordan, Amman, Jordan

Randa G. Naffa Department of Pathology-Microbiology, Faculty of Medicine, University of Jordan, Amman, Jordan

Longzhu Cui Department of Bacteriology, JuntendoUniversity, Tokyo, Japan

Keiich Hiramatsu Department of Bacteriology, JuntendoUniversity, Tokyo, Japan

Abstract

A 49-y-old male with erythrodermic psoriasis developed persistent bacteraemia for 3 months due to methicillin-resistant Staphylococcus aureus despite antimicrobial therapy. The skin was the likely focus. Three consecutive isolates from the blood and 1 from the nose were identical and had vancomycin MIC of 4 mg/l.

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Persistent bacteraemia due to methicillin-resistant Staphylococcus aureus with reduced susceptibility to vancomycin in a patient with erythrodermic psoriasis

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Persistent bacteraemia due to methicillin-resistant Staphylococcus aureus with reduced susceptibility to vancomycin in a patient with erythrodermic psoriasis

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