Skin infections are often seen in pediatric patients with recalcitrant staphylococcal
infections and postvaricella staphylococcal ulcerative lesions or in anesthesia personnel
as an occupational infection with blood-borne pathogens from contaminated percutaneous
injuries.
1
,
2
The renal-transplant recipient skin infection is a frequent complication in the posttransplant
period, mainly as candidal infection, herpes simplex, impetigo, and other infections
such as dermatomycoses, herpes zoster, and folliculitis.
3
Infection at the injection site after parenteral drug abuse is a well-known complication.
In Norway (Oslo), 179 patients were admitted in 1998 to the surgical department with
skin and soft-tissue infections at the injection site, whereas in 1993 there were
only 46 such cases, suggesting the problem is on an increase.
4
Mucocutaneous infections of diverse etiology are frequent complications in patients
with hematologic malignancies, most often abscesses and pyodermas with isolates of
Staphylococcus aureus, as in 862 patients in Bulgaria in 1999. Viral infections were caused mainly by herpes
simplex virus type I and less frequently by varicella zoster virus. Candida species were isolated predominantly in oropharyngeal mycoses. Prolonged cytostatic-induced
neutropenia and suppressed cellular immune response are the reasons for infectious
complications in hematologic malignancies.
5
Efficient prophylaxis of systemic infectious complications requires early diagnosis
and prompt etiologic treatment of mucocutaneous infections.
5
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© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
