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Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report

INTRODUCTION: Ear piercing is a common practice among Korean adolescents and young women and usually is performed by nonmedical personnel, sometimes under suboptimal hygienic conditions. Consequently, ear piercing has been associated with various infectious complications, including fatal infective e...

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Autores principales: Nah, So-Yun, Chung, Moon-Hyun, Park, Jae Eun, Durey, Areum, Kim, Mijeong, Lee, Jin-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163215/
https://www.ncbi.nlm.nih.gov/pubmed/21806817
http://dx.doi.org/10.1186/1752-1947-5-336
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author Nah, So-Yun
Chung, Moon-Hyun
Park, Jae Eun
Durey, Areum
Kim, Mijeong
Lee, Jin-Soo
author_facet Nah, So-Yun
Chung, Moon-Hyun
Park, Jae Eun
Durey, Areum
Kim, Mijeong
Lee, Jin-Soo
author_sort Nah, So-Yun
collection PubMed
description INTRODUCTION: Ear piercing is a common practice among Korean adolescents and young women and usually is performed by nonmedical personnel, sometimes under suboptimal hygienic conditions. Consequently, ear piercing has been associated with various infectious complications, including fatal infective endocarditis. We report a case of infective endocarditis that was caused by community-associated methicillin-resistant Staphylococcus aureus after ear piercing and that was accompanied by a noticeable facial rash. CASE PRESENTATION: A 29-year-old Korean woman underwent ear piercing six days before hospitalization. On admission, she had fever, erythematous maculopapular rashes on her face, signs of generalized emboli, vegetation in her mitral valve, and methicillin-resistant S. aureus bacteremia. On the basis of the blood culture results, she was treated with vancomycin in combination with gentamicin. On day six of hospitalization, a rupture of the papillary muscle of her mitral valve developed, and emergency cardiac surgery replacing her mitral valve with a prosthetic valve was performed. After eight weeks of antibiotic therapy, she was treated successfully and discharged without significant sequelae. CONCLUSIONS: Numerable cases of body piercing-related infective endocarditis have been reported, and since ear piercing is commonplace nowadays, the importance of risk recognition cannot be overemphasized. In our report, a patient developed infective endocarditis that was caused by methicillin-resistant S. aureus after ear piercing and that was accompanied by an interesting feature, namely facial rash.
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spelling pubmed-31632152011-08-29 Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report Nah, So-Yun Chung, Moon-Hyun Park, Jae Eun Durey, Areum Kim, Mijeong Lee, Jin-Soo J Med Case Reports Case Report INTRODUCTION: Ear piercing is a common practice among Korean adolescents and young women and usually is performed by nonmedical personnel, sometimes under suboptimal hygienic conditions. Consequently, ear piercing has been associated with various infectious complications, including fatal infective endocarditis. We report a case of infective endocarditis that was caused by community-associated methicillin-resistant Staphylococcus aureus after ear piercing and that was accompanied by a noticeable facial rash. CASE PRESENTATION: A 29-year-old Korean woman underwent ear piercing six days before hospitalization. On admission, she had fever, erythematous maculopapular rashes on her face, signs of generalized emboli, vegetation in her mitral valve, and methicillin-resistant S. aureus bacteremia. On the basis of the blood culture results, she was treated with vancomycin in combination with gentamicin. On day six of hospitalization, a rupture of the papillary muscle of her mitral valve developed, and emergency cardiac surgery replacing her mitral valve with a prosthetic valve was performed. After eight weeks of antibiotic therapy, she was treated successfully and discharged without significant sequelae. CONCLUSIONS: Numerable cases of body piercing-related infective endocarditis have been reported, and since ear piercing is commonplace nowadays, the importance of risk recognition cannot be overemphasized. In our report, a patient developed infective endocarditis that was caused by methicillin-resistant S. aureus after ear piercing and that was accompanied by an interesting feature, namely facial rash. BioMed Central 2011-08-01 /pmc/articles/PMC3163215/ /pubmed/21806817 http://dx.doi.org/10.1186/1752-1947-5-336 Text en Copyright ©2011 Nah et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nah, So-Yun
Chung, Moon-Hyun
Park, Jae Eun
Durey, Areum
Kim, Mijeong
Lee, Jin-Soo
Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title_full Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title_fullStr Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title_full_unstemmed Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title_short Infective endocarditis caused by methicillin-resistant Staphylococcus aureus in a young woman after ear piercing: a case report
title_sort infective endocarditis caused by methicillin-resistant staphylococcus aureus in a young woman after ear piercing: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163215/
https://www.ncbi.nlm.nih.gov/pubmed/21806817
http://dx.doi.org/10.1186/1752-1947-5-336
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