A case of autosensitization dermatitis associated with MRSA infection after treatment of multiple maxillofacial bone fractures

Abstract

A 19-year-old man had methicillin-resistant Staphylococcus aureus (MRSA) infection involving multiple facial injuries, including multiple maxillofacial bone fractures, caused by attempted suicide. The infection associated with the mandibular compound fracture was treated by open reduction, fixation, and chemotherapy with antibiotics. However, 4 months after the operation, pyoderma caused by MRSA infection occurred and later progressed to eczematous lesions with severe itching. Pyoderma was treated by powder consisting of zinc oxide, talcum, and dermatol containing 2% acrinol and 0.2% promethazine hydrochloride. Autosensitization dermatitis developed all over the body and was treated with a mixture of povidone iodine gel and betamethasone. One month after the treatment the eczema disappeared and MRSA infection was cured completely.