Assuntos
Fasciite Necrosante/microbiologia , Staphylococcus aureus Resistente à Meticilina , Pneumonia Estafilocócica/microbiologia , Antibacterianos/uso terapêutico , Toxinas Bacterianas/metabolismo , Exotoxinas/metabolismo , Fasciite Necrosante/tratamento farmacológico , Fasciite Necrosante/etiologia , Feminino , Humanos , Lactente , Leucocidinas/metabolismo , Pneumonia Estafilocócica/complicações , Pneumonia Estafilocócica/tratamento farmacológico , Choque Séptico/etiologia , Choque Séptico/microbiologiaRESUMO
Atopic dermatitis (AD) is a multifactorial and chronic disease, with genetic, environmental, immunological and nutritional origins. AD may be aggravated by allergies associated with infections. This study aims to describe a paediatric case of AD in which the peanut allergy was the triggering factor to aggravate the disease, and was also the concomitant precursor of staphylococcal (methicillin-sensitive Staphylococcus aureus, carrier of the Panton-Valentine leukocidine (PVL) genes) and herpetic (Herpes Simplex - HSV) infections. The clinical management approach and nursing strategies promoted a favourable evolution during the hospitalization period, besides the family approach, which was essential to control any flare-up of the disease. Adherence to a recommended diet and the use of strategies to prevent any recurrent infections were important to ensure the patient's quality of life.