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Recurrent bacteremia and endocarditis due to Staphylococcus capitis in a patient with Bowen’s disease: a case report

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Abstract

This case report details the management of a 79-year-old male with recurrent methicillin-resistant Staphylococcus capitis bacteremia and endocarditis. The patient’s clinical journey encompassed multiple hospital admissions, with challenges in managing endocarditis, pacemaker replacements, and potential cutaneous sources of infection. The treatment regimen included intravenous antibiotic therapy during hospitalization and suppressive antibiotic treatment upon discharge, alongside a decolonization strategy for his scalp lesions.

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Author information

Authors and Affiliations

  1. Department of Infectious Diseases, La Paz University Hospital, Paseo Castellana 261, 28046, Madrid, Spain

    Alejandro Díez-Vidal, Cristina Marcelo-Calvo, Patricia Martínez-Martín & Belén Loeches

  2. Department of Nephrology, La Paz University Hospital, Paseo Castellana 261, 28046, Madrid, Spain

    María Elena González-García & Javier Azores-Moreno

  3. Department of Cardiology, La Paz University Hospital, Paseo Castellana 261, 28046, Madrid, Spain

    Irene Marco-Clement

  4. Department of Microbiology, La Paz University Hospital, Paseo Castellana 261, 28046, Madrid, Spain

    Patricia Roces-Álvarez

  5. Department of Internal Medicine, La Paz University Hospital, Paseo Castellana 261, 28046, Madrid, Spain

    Borja González-Muñoz & Fernando Fernández-Hinojal

  6. Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain

    Belén Loeches

Authors
  1. Alejandro Díez-Vidal
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  2. María Elena González-García
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  3. Irene Marco-Clement
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  4. Javier Azores-Moreno
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  5. Patricia Roces-Álvarez
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  6. Cristina Marcelo-Calvo
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  7. Patricia Martínez-Martín
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  8. Borja González-Muñoz
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  9. Fernando Fernández-Hinojal
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  10. Belén Loeches
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Contributions

Patient care during admissions: ADV, IMC, JAM, PRA, CMM, PMM, BGM, FFH, MEGG, BL. Conception and design: ADV, FFH, PRA. Material preparation and data collection: ADV, JAM, PRA, FFH. Manuscript drafting: ADV, BGM. Critical revision of the article: ADV, MEGG, BL. Overall responsibility: ADV, MEGG, BL. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Alejandro Díez-Vidal.

Ethics declarations

Ethics committee approval

This is an observational description of a clinical case. The ethics committee of La Paz University Hospital has confirmed that no ethical approval is required.

Use of artificial intelligence (AI)

During the preparation of this article, artificial intelligence tools (ChatGPT-4) have been employed for targeted grammatical and stylistic corrections. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.

Consent to photography use

Before his demise, the patient granted permission for the utilization and publication of photographs taken during his clinical evaluation, which are presented in this article in Fig. 1.

Data access and responsibility

The information used for the preparation of this article has been extracted from the electronic medical record of La Paz University Hospital. A link to these records is not provided in order to maintain the privacy and anonymity of the patient. In this study, no patient data are presented that could potentially compromise their privacy.

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Díez-Vidal, A., González-García, M.E., Marco-Clement, I. et al. Recurrent bacteremia and endocarditis due to Staphylococcus capitis in a patient with Bowen’s disease: a case report. Eur J Clin Microbiol Infect Dis 43, 999–1002 (2024). https://doi.org/10.1007/s10096-024-04783-1

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  • DOI: https://doi.org/10.1007/s10096-024-04783-1

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