scholarly journals Polymerase chain reaction-based active surveillance of MRSA in emergency department patients

2015 ◽  
pp. 113 ◽  
Author(s):  
Masafumi Seki ◽  
Hiroki Takahashi ◽  
Norihisa Yamamoto ◽  
Shigeto Hamaguchi ◽  
Masahiro Ojima ◽  
...  
Author(s):  
Romina Häfelfinger ◽  
Anne-Valérie Burgener ◽  
Michael Osthoff ◽  
Eliska Potlukova

An 81-year-old patient presented to the emergency department with a dark lesion on his forehead and swelling of his left eye, 3 days after a minor forehead injury and skin laceration. He also showed singular papules on his chin, upper chest, upper arms and back, later evolving into vesicles. Polymerase-chain reaction testing of vesicle content was positive for VZV and HSV-1, confirming a diagnosis of disseminated cutaneous herpes virus infection and concomitant HSV-1 reactivation. Antiviral and antibiotic treatment was initiated for 1 week with an immediate response. This case report highlights the association of head trauma and subsequent reactivation of VZV in patients at risk. Simultaneous reactivation of HSV-1 and VZV is rare in immunocompetent patients.


Sign in / Sign up

Export Citation Format

Share Document