Erythrodermic Psoriasis and Staph-Infective Endocarditis—A Conundrum in Succession. (June 2022)

• Record Type: Journal Article
• Authors: Patel, Arti; Venter, Frederick; Grewal, Kulraj; Sharma, Rupam; Petersen, Greti; Heidari, Arash
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 10(2022)
• Publication Date: 2022-06
• Subjects: erythrodermic psoriasis -- methicillin-susceptible Staphylococcus aureus (MSSA) -- infective endocarditis -- bacteremia; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/23247096221105243
• Languages: English
• ISSNs: 2324-7096

Abstract

Erythrodermic psoriasis is a rare subtype of psoriasis vulgaris that presents with diffuse erythema and desquamation over greater than 75% of the body's surface area. We present a case of a 57-year-old male who was admitted with a diffuse, erythematous scaly rash covering his entire body, with associated subjective fevers. Skin biopsy revealed erythrodermic psoriasis, and blood cultures were positive for methicillin-sensitive Staphylococcus aureus . Echocardiogram revealed a mitral valve vegetation. Clinical improvement was achieved with intravenous antibiotic administration and topical corticosteroids without the use of immunomodulators.