18.97.14.90
18.97.14.90
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Staphylococcus lugdunensis가 동정된 피부 질환의 임상적 특징과 항생제 감수성에 대한 연구
Clinical Characteristics and Antibiotic Susceptibility of Staphylococcus lugdunensis Isolated from Skin Diseases: A Retrospective Single-Center Study
장윤경 ( Yun Kyung Jang ) , 이희정 ( Hee Jung Lee ) , 김동현 ( Dong Hyun Kim ) , 윤문수 ( Moon Soo Yoon ) , 신정우 ( Jung U Shin )
UCI I410-ECN-0102-2023-500-001155887

Background: Staphylococcus lugdunensis is an emerging pathogen in skin and soft tissue infections. However, until recently, the role of S. lugdunensis as a skin pathogen remained underrated. Objective: The purpose of this study was to investigate the clinical characteristics and antibiotic susceptibility of S. lugdunensis isolated from skin diseases. Methods: This is a retrospective chart review of 48 cases in which S. lugdunensis was isolated from bacterial skin cultures between 2016 and 2021. Results: Among the 48 patients, the mean age was 41.0 years, 54.2% were male, and 12.5% of the patients had immunosuppressive diseases. Nearly 87.4% of infections occurred below the waist and the dominant sources of isolation were epidermal cyst (31.3%) and hidradenitis suppurativa (29.2%). The rate of resistance of S. lugdunensis against β-lactam antibiotics were as follows: penicillin, 83.3%; oxacillin, 37.5%; and methicillin, 29.2%. Conclusion: S. lugdunensis is emerging as one of the primary pathogens of skin infections. When S. lugdunensis is isolated, dermatologists should consider that it is not just a component of the skin flora but can also be a pathogen. If S. lugdunensis is identified as the cause of infection, it should be managed with appropriate antibiotic therapy. (Korean J Dermatol 2023;61(2):124∼129)

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