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Previous Issues Volume 2, Issue 2 - 2017
Cutaneous Vasculitis as A First Sign of Isolated Peptoniphilus Spp in Urinary Tract Infection: A Case Report
Eduardo Esteban-Zubero1*, Rubén Castejón-Moreno1, Moisés Alejandro Alatorre-Jiménez2, Lourdes del Carmen Rizo-De La Torre3, Daniel Barberá-Pérez4 , Subramanian Panchu Ravindra Rajan Subala5 , Alejandro Marín-Medina3 , Sara Anabel Alonso Barragán6 , Carlos Arturo López-García7 .
1Medical Doctor in Emergency Department of Hospital San Pedro. Calle Piqueras, 98, 26006, Logroño, Spain.
2Department of Neurosciences, Western biomedical research center, Mexican Institute of Social Security (Guadalajara, Mexico)
3Department of Genetics, Western biomedical research center, Mexican Institute of Social Security (Guadalajara, Mexico).
4Primary Care Resident of Delicias Sur Health Center. Manuel Dronda, 1, 50009 Zaragoza, Spain.
5Molecular Entomology Laboratory, Department of Biotechnology, School of Biosciences, Periyar University, Salem-636011, Tamil Nadu, India.
6Department of Genetics, University of Guadalajara. Av. Juárez No. 976, Centro, 44100 Guadalajara, JAL, México.
7Mission Regional Medical Center. 900 S Bryan Rd, Mission Tx 78572, USA.
Corresponding Author: Esteban-Zubero E, Emergency Department of Hospital San Pedro. Calle Piqueras 98. ZIP Code: 26006. Logroño, Spain, Tel : +34654123994; E-Mail: [email protected]
Received Date: 13 Jul 2017
Accepted Date: 19 Oct 2016
Published Date: 21 Oct 2016
Copyright © 2017 Esteban-Zubero E
Citation: Esteban-Zubero E, Castejón-Moreno R, AlatorreJiménez MA, Barberá-Pérez D et al. (2017). Cutaneous Vasculitis as A First Sign of Isolated Peptoniphilus Spp in Urinary Tract Infection: A Case Report. Mathews J Case Rep 2(2): 031
ABSTRACT
Cutaneous vasculitis (CV) is a disease that may occur as a primary pro¬cess or be secondary to a wide and het¬erogeneous group of disorders, including drug reactions, infections, connective tissue diseases, autoimmune disorders and malignancies. There are several different cutaneous manifestations, including palpable purpura, urticarial papules and plaques, nodules, ulcers, and livedo reticularis. Skin biopsy is the gold standard for the diagnosis of CV. However, the presence of a leukocytoclastic vasculitis is not sufficient to establish the specific underlying aetiology.
Herein, we summarize a case report of a 15-year-old woman affected with non-pruriginous skin lesions, predominantly in the lower limbs (up to thighs), without fever or signs of systemic or localized infection. The hysthopatological study of skin lesions showed orthokeratotic epidermis with underlying dermis with vascular changes with slight proliferation of capillaries, small vessels lesions, endothelial cell swelling, deposits of eosinophilic fibrin bands, and fibrinoid degradation. Neutrophil polymorphonuclear predominant inflammatory infiltrate around vessels with endothelial damage and nuclear dust (leukocytoclastia). In addition, an urine cultura showed a Peptoniphilus spp infection. With the diagnosis of of CV caused by a Peptoniphilus spp isolated in an urinary tract infection, the patient was treated with corticosteroids and amoxicilin. After 1 week, all the skins lesions were resolved.
KEYWORDS
Vasculitis; Cutaneous Vasculitis; Urinary Tract Infection.
