Pătrașcu, A.-I.; Vâță, D.; Temelie-Olinici, D.; Mocanu, M.; Guguluș, D.-L.; Marinescu, M.; Stafie, L.; Tarcău, B.-M.; Creţu, I.; Popescu, I.-A.; Cimpoeșu, C.-D.; Gheucă-Solovăstru, L. Skin Lesions with Loss of Tissue and Cutaneous-Onset Sepsis: The Skin Infection–Sepsis Relationship. Diagnostics2024, 14, 659.
Pătrașcu, A.-I.; Vâță, D.; Temelie-Olinici, D.; Mocanu, M.; Guguluș, D.-L.; Marinescu, M.; Stafie, L.; Tarcău, B.-M.; Creţu, I.; Popescu, I.-A.; Cimpoeșu, C.-D.; Gheucă-Solovăstru, L. Skin Lesions with Loss of Tissue and Cutaneous-Onset Sepsis: The Skin Infection–Sepsis Relationship. Diagnostics 2024, 14, 659.
Pătrașcu, A.-I.; Vâță, D.; Temelie-Olinici, D.; Mocanu, M.; Guguluș, D.-L.; Marinescu, M.; Stafie, L.; Tarcău, B.-M.; Creţu, I.; Popescu, I.-A.; Cimpoeșu, C.-D.; Gheucă-Solovăstru, L. Skin Lesions with Loss of Tissue and Cutaneous-Onset Sepsis: The Skin Infection–Sepsis Relationship. Diagnostics2024, 14, 659.
Pătrașcu, A.-I.; Vâță, D.; Temelie-Olinici, D.; Mocanu, M.; Guguluș, D.-L.; Marinescu, M.; Stafie, L.; Tarcău, B.-M.; Creţu, I.; Popescu, I.-A.; Cimpoeșu, C.-D.; Gheucă-Solovăstru, L. Skin Lesions with Loss of Tissue and Cutaneous-Onset Sepsis: The Skin Infection–Sepsis Relationship. Diagnostics 2024, 14, 659.
Abstract
In dermatological practice, disturbances of the skin microbiome are found in various infectious and inflammatory dermatoses featuring one or more skin lesions with loss of tissue, directly exposing skin layers to microbial invasions. Literature data on the incidence of cutaneous-onset sepsis are, however, scarce. This retrospective observational study assessed hospital admissions for primary skin lesions with vs. without bacterial infections and sepsis during 2020-2022 in the largest emergency hospital in NE Romania. Of 509 patients 441 had infected lesions, 78 had sepsis caused by venous ulcers microbial eczema cellulitis, superinfected bullous dermatoses, erysipelas, erythroderma. Cultured samples revealed S. aureus, P. aeruginosa, E. coli, with K. pneumoniae, S. β-hemolytic associated with sepsis even if rarer. Clinical manifestations included ulcerations, erosions, fissures, excoriations, bullae, vesicles, pruritus, tumefaction, edema, fever, chills, pain, adenopathy, mildly altered mental status. Underlying chronic heart failure, atrial fibrillation, anemia, type-1 diabetes mellitus were comorbidities associated with infection and sepsis. Significant associations and risk factors, including their combined effects, are discussed to draw attention to the need for further research and adequate management to prevent sepsis in adult patients of any age presenting with infected skin lesions (especially cellulitis) and comorbidities (especially type 1 diabetes mellitus and anemia).
Keywords
skin lesions with loss of tissue; cutaneous-onsetsepsis; acute infections; skin microbiome
Subject
Medicine and Pharmacology, Dermatology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
,
