Journal of Investigative Medicine High Impact Case Reports (Jun 2022)

Erythrodermic Psoriasis and Staph-Infective Endocarditis—A Conundrum in Succession

  • Arti Patel MS4,
  • Frederick Venter MD,
  • Kulraj Grewal MD,
  • Rupam Sharma MD,
  • Greti Petersen MD,
  • Arash Heidari MD

DOI
https://doi.org/10.1177/23247096221105243
Journal volume & issue
Vol. 10

Abstract

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Erythrodermic psoriasis is a rare subtype of psoriasis vulgaris that presents with diffuse erythema and desquamation over greater than 75% of the body’s surface area. We present a case of a 57-year-old male who was admitted with a diffuse, erythematous scaly rash covering his entire body, with associated subjective fevers. Skin biopsy revealed erythrodermic psoriasis, and blood cultures were positive for methicillin-sensitive Staphylococcus aureus . Echocardiogram revealed a mitral valve vegetation. Clinical improvement was achieved with intravenous antibiotic administration and topical corticosteroids without the use of immunomodulators.