Open AccessErythema Nodosum Associated with Staphylococcus Species Infection in a Child
Author(s) -
Sanja Knežević,
Tijana Prodanović,
Маrija Radovanovic,
Nikola Prodanović,
Gordana Kostić
Publication year - 2022
Publication title -
serbian journal of experimental and clinical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.131
H-Index - 8
eISSN - 2335-075X
pISSN - 1820-8665
DOI - 10.2478/sjecr-2020-0017
Subject(s) - medicine , erythema nodosum , leukocytosis , etiology , staphylococcus , erythrocyte sedimentation rate , bacteremia , dermatology , proteus vulgaris , staphylococcus aureus , antibiotics , disease , microbiology and biotechnology , bacteria , biology , genetics
Erythema nodosum (EN) is a poly-etiological disease with an acute flow that is characterized by symmetric emergence of painful nodules often in pretibial areas. A twenty-month-old male child was admitted to hospital for evaluation of the eruptive skin changes in the lower extremities and forearms. The disease began 10 days before getting febricity and loose stools. The laboratory analysis showed an elevated erythrocyte sedimentation rate and leukocytosis. Blood cultures demonstrated the presence of coagulase-negative Staphylococcus, while Proteus vulgaris was isolated in urine cultures. After initiation of the empiric antibiotic therapy and then, the targeted antibiotic therapy according to the antibiogram, there was a significant improvement in a general condition and regression of cutaneous lesions. Erythema nodosum in the present case, is the result of staphylococcal bacteremia although Proteus vulgaris cannot be excluded as a cause.