Resistant Widespread Facial Impetigo in a Healthy Infant with Atopic Dermatitis

Journal of Clinical and Diagnostic Research

Ali Fazel¹  Gholamreza Houshmand²  Mohammad Bahadoram³  Seyed Hesamedin Nabavizadeh⁴  Soheila Alyasin⁴ 

[1] Assistant Professor, Department of Paediatrics, Emam Sajad Hospital, Clinical Research Center, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran.;Assistant Professor, Department of Pharmacology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.;Medical Student, Health Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz, Jundishapur University of Medical Sciences, Ahvaz, Iran.;Professor, Department of Immunology and Allergy, Shiraz University of Medical Science and Allergy Research Center, Shiraz, Iran.;

关键词: clindamycin;    hypogammaglobulinemia;    immunodeficiency;    infant;    wiskott-aldrich syndrome;   

DOI  :  10.7860/JCDR/2018/30439.11290

来源: DOAJ

【 摘 要 】

Atopic Dermatitis (AD) or eczema is a chronic and relapsing, itchy skin inflammatory condition in infancy and childhood. The diagnosis is based on pruritus and an eczematous dermatitis with typical presentation. A five-month-old infant who was suffering from itches and eczema since three months, was diagnosed with AD. After clinical diagnosis of AD, the condition seemed to be superimposed by a bacterial infection, an empirical treatment of antibiotic (oral cephalexin) was started. However, the patient showed no improvement. As per the hospital protocol, he received clindamycin, to which the lesions responded and totally resolved. The AD in our case was reported due to severe facial impetigo with an unusual feature that it resembled a primary immunodeficiency. However, in our case, the patient had an intact immune system and did not have any transient hypogammaglobulinemia.

【 授权许可】

Unknown