Methicillin resistant stahphylococcus aureus (MRSA) septicemia in pemphigus foliaceus - A coalition partners in resistant cases

Authors

  • Anuradha Jindal Dr. Anuradha Jindal M.D. dermatology, senior resident Dermatology department, Kasturba Hospital Manipal Academy of Higher Education, Manipal, Karnataka, India-576104 Email id – dr.anu17@gmail.com
  • Raghavendra Rao Dr. Raghavendra Rao M.D. dermatology, Additional Professor Dermatology department, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104 Email id – raghavrao1@gmail.com

DOI:

https://doi.org/10.66344/jpad.v29i4.1340

Keywords:

MRSA, pemphigus foliaceus

Abstract

Infection contributes to considerable morbidity and mortality in patients with autoimmune bullous disorders (AIBDs) such as pemphigus. Increased susceptibility to infection in this population may occur via 3 primary mechanisms- defective barrier function as a result of blistering and subsequent erosions, down regulation of immunity due to medications used in the treatment of AIBDs and finally, immune dysregulation associated with autoimmunity. In pemphigus, sepsis is the most common cause of death, with staphylococcus aureus being the most frequently implicated organism. We hereby report two cases of methicillin resistant staphylococcus aureus (MRSA) septicemia in pemphigus foliaceus (PF) patients rendering them resistant to conventional immunosuppressive therapies.

Author Biographies

  • Anuradha Jindal, Dr. Anuradha Jindal M.D. dermatology, senior resident Dermatology department, Kasturba Hospital Manipal Academy of Higher Education, Manipal, Karnataka, India-576104 Email id – dr.anu17@gmail.com

    Dr. Anuradha Jindal 

    M.D. dermatology, senior resident

    Dermatology department, Kasturba Hospital

    Manipal Academy of Higher Education, Manipal, Karnataka, India-576104

    Email id – dr.anu17@gmail.com

  • Raghavendra Rao, Dr. Raghavendra Rao M.D. dermatology, Additional Professor Dermatology department, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104 Email id – raghavrao1@gmail.com

    Dr. Raghavendra Rao

    M.D. dermatology, Additional Professor

    Dermatology department, Kasturba Medical College,

    Manipal Academy of Higher Education, Manipal, Karnataka, India-576104

    Email id – raghavrao1@gmail.com

References

1. Lehman JS, Murrell DF, Camilleri MJ, Kalaaji AN. Infection and Infection Prevention in Patients Treated with Immunosuppressive Medications for Autoimmune Bullous Disorders. Dermatol Clin. 2011; 29: 5 91-8.

2. A.R. Ahmed, R. Moy. Death in pemphigus. J Am Acad Dermatol. 1982; 7: 221–228.

3. Hammers CM, Stanley JR. Desmoglein-1, differentiation, and disease. J Clin Invest. 2013; 123: 1419-22.

4. Whittock NV, Bower C. Targetting of desmoglein 1 in inherited and acquired skin diseases. Clin Exp Dermatol.2003;28:410-5

5. Amagai M. Desmoglein as a target in autoimmunity and infection. J Am Acad Dermatol.2003; 48: 244-52.

6. Hanakawa Y, Stanley JR. Mechanisms of blister formation by staphylococcal toxins. J Biochem 2004; 136: 747-50.

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Published

22.10.2019

How to Cite

1.
Methicillin resistant stahphylococcus aureus (MRSA) septicemia in pemphigus foliaceus - A coalition partners in resistant cases. J Pak Assoc Dermatol [Internet]. 2019 Oct. 22 [cited 2026 Jul. 16];29(4):425-7. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/1340