2023 Volume 45 Issue 3 Pages 244-249
The patient was a 28-year-old man who had a history of untreated atopic dermatitis (AD). He was hospitalized with Staphylococcus aureus (S. aureus) bacteremia and infective endocarditis (IE) during an acute flare-up of AD. He developed a ruptured infective cerebral aneurysm (ICA) and underwent decompressive craniectomy on the 9th hospital day. While dermatological skin care was provided, open heart surgery was performed 41 days after the rupture of ICA, and the ICA was cured with antibiotic therapy. There is skin colonization by S. aureus in patients with AD; therefore, scratching of the lesions may cause invasion of bacteria, subsequently promoting extracutaneous infections including IE and ICA, as well as postoperative infections. The decision of how best to manage ICA associated with AD should be evaluated with the aid of neurosurgery, cardiac surgery, and dermatology.
