RESUMO
Generalized pustular psoriasis is a severe form of psoriasis. The pustular dermatosis complicates a known psoriasis frequently after a medicinal taking or infection. It exceptionally inaugurates the psoriatic disease. We report a case of generalized pustular psoriasis triggered by Klebsiella pneumoniae septicaemia and discuss the characteristics of this association. A 43-year-old man, was hospitalized for a profuse pustular eruption evolving for one week with altered general state, fever and liquid diarrhea. The patient ate a tuna sandwich 48 hours prior to the onset of symptoms. The biology showed a hyperleucocytosis, elevated C Reactive Protein and hepatic cytolysis. The skin histology demonstrated a pustular psoriasis. Three blood samples, a coproculture and a catheter culture showed Klebsiella pneumoniae. The patient was treated with antibiotics. The pustular psoriasis was treated by acitretin. The evolution was gradually favourable. Generalized pustular psoriasis is a rare and severe affection. Its prognosis is mainly conditioned by infectious complications
RESUMO
Staphylococcus skin infections [SSI] are common. The emergence methicillin-resistant Staphylococcus aureus [MRSM is a growing concern. our study was to describe the epidemiological, clinical and bacteriological features of SSI in a hospital department. This was a prospective study performed in the Dermatology and Bacteriology department of the La Rabta Hospital during a period of three months [February-April 2008, Were included all cases presenting with a primary SSI. For each patient wee collected epidemiological, clinical, bacteriological and therapeutic features. Twenty-five patients were included in the study concerning 15 men and 10 women, with a mean age of 47 years. Clinical exam revealed a unique lesion in 52%of cases. The abscess was the predominant clinical form [40%]. The bacteriological study isolated a Staphylococcus aureus in the lesion in 40%of cases and in the other sites of staphylococcus portage in 24%of cases. 32%of patients had MRSA. Dermatologists are increasingly faced with cutaneous infections caused by MRSA. Bacterial samples should be taken routinely and probabilistic antibiotic therapy for MRSA instituted in severe infections