Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district

Background: Impetigo can result from Staphylococcus aureus (S. aureus). Wolf’s isotopic response is the occurrence of a new cutaneous disorder at the site of a previously healed disease. A cutaneous immunocompromised district is an area of skin that is more vulnerable than the rest of the individua...

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Auteur principal:	Philip R. Cohen
Format:	article
Langue:	EN
Publié:	Mattioli1885 2015
Sujets:	cutaneous dermatome dermatomal district, herpes immunocompromised impetigo Dermatology RL1-803
Accès en ligne:	https://doaj.org/article/188bac19f2eb4f6287dfe2801d01b23c
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spelling	oai:doaj.org-article:188bac19f2eb4f6287dfe2801d01b23c2021-11-17T08:31:32ZZosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district10.5826/dpc.0503a092160-9381https://doaj.org/article/188bac19f2eb4f6287dfe2801d01b23c2015-07-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/745https://doaj.org/toc/2160-9381 Background: Impetigo can result from Staphylococcus aureus (S. aureus). Wolf’s isotopic response is the occurrence of a new cutaneous disorder at the site of a previously healed disease. A cutaneous immunocompromised district is an area of skin that is more vulnerable than the rest of the individual’s body. Purpose: To describe a man with impetigo localized to a unilateral dermatome and review the clinical features of other patients with zosteriform Staphylococcus aureus cutaneous infection. Methods: PubMed was used to search the following terms, separately and in combination: cutaneous, dermatome, dermatomal, district, herpes, immunocompromised, impetigo, infection, isotopic, response, skin, staphylococcal, Staphylococcus aureus, Wolf, zoster, zosteriform. All papers were reviewed and relevant manuscripts, along with their reference citations, were evaluated. Results: Crusted, eroded and intact, erythematous papules and nodules acutely presented localized to the mandibular branch of the left trigeminal nerve on the face of a 66-year-old man; he did not recall a prior episode of varicella-zoster virus infection in that area. A bacterial culture isolated methicillin-susceptible S. aureus. Viral cultures and direct fluorescent absorption studies were negative for herpes simplex and herpes zoster virus. All of the lesions resolved after oral treatment with cefdinir. Impetigo and/or furunculosis in a zosteriform distribution have also been described in 3 additional patients. The bacterial culture showed either methicillin-susceptible or methicillin-resistant S. aureus; the skin infection resolved after treatment with oral antibiotics; however one man experienced 2 recurrences in the same area. Conclusions: Zosteriform cutaneous staphylococcal impetigo may be an example of Wolf’s isotopic response in a cutaneous immunocompromised district. Philip R. CohenMattioli1885articlecutaneousdermatomedermatomaldistrict, herpesimmunocompromisedimpetigoDermatologyRL1-803ENDermatology Practical & Conceptual (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	cutaneous dermatome dermatomal district, herpes immunocompromised impetigo Dermatology RL1-803
spellingShingle	cutaneous dermatome dermatomal district, herpes immunocompromised impetigo Dermatology RL1-803 Philip R. Cohen Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
description	Background: Impetigo can result from Staphylococcus aureus (S. aureus). Wolf’s isotopic response is the occurrence of a new cutaneous disorder at the site of a previously healed disease. A cutaneous immunocompromised district is an area of skin that is more vulnerable than the rest of the individual’s body. Purpose: To describe a man with impetigo localized to a unilateral dermatome and review the clinical features of other patients with zosteriform Staphylococcus aureus cutaneous infection. Methods: PubMed was used to search the following terms, separately and in combination: cutaneous, dermatome, dermatomal, district, herpes, immunocompromised, impetigo, infection, isotopic, response, skin, staphylococcal, Staphylococcus aureus, Wolf, zoster, zosteriform. All papers were reviewed and relevant manuscripts, along with their reference citations, were evaluated. Results: Crusted, eroded and intact, erythematous papules and nodules acutely presented localized to the mandibular branch of the left trigeminal nerve on the face of a 66-year-old man; he did not recall a prior episode of varicella-zoster virus infection in that area. A bacterial culture isolated methicillin-susceptible S. aureus. Viral cultures and direct fluorescent absorption studies were negative for herpes simplex and herpes zoster virus. All of the lesions resolved after oral treatment with cefdinir. Impetigo and/or furunculosis in a zosteriform distribution have also been described in 3 additional patients. The bacterial culture showed either methicillin-susceptible or methicillin-resistant S. aureus; the skin infection resolved after treatment with oral antibiotics; however one man experienced 2 recurrences in the same area. Conclusions: Zosteriform cutaneous staphylococcal impetigo may be an example of Wolf’s isotopic response in a cutaneous immunocompromised district.
format	article
author	Philip R. Cohen
author_facet	Philip R. Cohen
author_sort	Philip R. Cohen
title	Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
title_short	Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
title_full	Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
title_fullStr	Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
title_full_unstemmed	Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district
title_sort	zosteriform impetigo: wolf’s isotopic response in a cutaneous immunocompromised district
publisher	Mattioli1885
publishDate	2015
url	https://doaj.org/article/188bac19f2eb4f6287dfe2801d01b23c
work_keys_str_mv	AT philiprcohen zosteriformimpetigowolfsisotopicresponseinacutaneousimmunocompromiseddistrict
_version_	1718425722190561280

Zosteriform impetigo: Wolf’s isotopic response in a cutaneous immunocompromised district

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