Recurrent bacteremia and endocarditis due to Staphylococcus capitis in a patient with Bowen’s disease: a case report

• Published in: European journal of clinical microbiology & infectious diseases Vol. 43; no. 5; pp. 999 - 1002
• Main Authors: Díez-Vidal, Alejandro, González-García, María Elena, Marco-Clement, Irene, Azores-Moreno, Javier, Roces-Álvarez, Patricia, Marcelo-Calvo, Cristina, Martínez-Martín, Patricia, González-Muñoz, Borja, Fernández-Hinojal, Fernando, Loeches, Belén
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-05-2024; Springer Nature B.V
• Subjects: Aged; Anti-Bacterial Agents - therapeutic use; Antibiotics; Bacteremia; Bacteremia - drug therapy; Bacteremia - microbiology; Biomedical and Life Sciences; Biomedicine; Brief Report; Cancer; Case reports; Decolonization; Diuretics; Drug resistance; Edema; Endocarditis; Endocarditis, Bacterial - diagnosis; Endocarditis, Bacterial - drug therapy; Endocarditis, Bacterial - microbiology; Fever; Health services; Heart failure; Hospitalization; Hospitals; Humans; Infectious diseases; Internal Medicine; Male; Medical imaging; Medical Microbiology; Methicillin; Nosocomial infections; Pacemakers; Patients; Recurrence; Skin; Squamous cell carcinoma; Staphylococcal Infections - diagnosis; Staphylococcal Infections - drug therapy; Staphylococcal Infections - microbiology; Staphylococcus capitis; Staphylococcus capitis - drug effects; Staphylococcus capitis - genetics; Staphylococcus capitis - isolation & purification; Ultrasonic imaging; Bowen’s disease; Dalbavancin; Ceftaroline; Bacteremia; Endocarditis; Staphylococcus capitis
• ISSN: 0934-9723; 1435-4373; 1435-4373
• DOI: 10.1007/s10096-024-04783-1

This case report details the management of a 79-year-old male with recurrent methicillin-resistant
Staphylococcus capitis
bacteremia and endocarditis. The patient’s clinical journey encompassed multiple hospital admissions, with challenges in managing endocarditis, pacemaker replacements, and potential cutaneous sources of infection. The treatment regimen included intravenous antibiotic therapy during hospitalization and suppressive antibiotic treatment upon discharge, alongside a decolonization strategy for his scalp lesions.