RESHITI, Erblira and HAXHIREXHA, Aulona and JAHIJA, Alba (2026) ATOPIC DERMATITIS IN AN INFANT: PRESENTATION OF A CLINICAL CASE WITH SECONDARY STAPHYLOCOCCUS AUREUS INFECTION. In: INTERNATIONAL CONFERENCE “FROM RESEARCH TO APPLICATION”, 20 May, 2026.
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Abstract
Atopic dermatitis (AD) is a chronic inflammatory skin disease with a high prevalence in the pediatric age group, characterized by xerosis, intense pruritus, eczematous lesions, and a predisposition to secondary bacterial infections, mainly with Staphylococcus aureus. Its pathogenesis is complex and involves dysfunction of the epidermal barrier, immunological disturbances polarized toward a Th2 response, and changes in the skin microbiome. This paper presents the case of a 6-month-old male infant who was referred to the Department of Dermatology of Tetovo Clinical Hospital with erythematous eczematous lesions on the cheeks, marked pruritus, subfebrile temperature, and clinical signs of secondary bacterial infection. The infant had a strongly positive family history of atopy: his grandmother had atopic dermatitis, his maternal uncle had allergic rhinitis and bronchial asthma, while his mother had episodes of contact dermatitis. The diagnosis was established on the basis of clinical examination, dermatoscopic assessment, and a bacterial culture obtained by swab from the lesions, which confirmed the presence of methicillin-sensitive Staphylococcus aureus (MSSA). The therapeutic plan included detailed parental education on skin care, frequent use of a hypoallergenic emollient containing ceramides, hydrocortisone cream 1% twice daily for 10–14 days on inflammatory lesions, and mupirocin 2% ointment three times daily for 7 days for the bacterial infection. At the follow-up visit after two weeks, considerable clinical improvement was noted, with regression of erythema, elimination of the honey-yellow crusts, and reduction of pruritus. This case underscores the importance of early diagnosis, an individualized therapeutic approach, and caregiver education for the effective management of AD in infancy, especially when complicated by secondary bacterial infections.
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Subjects: | Q Science > Q Science (General) |
| Divisions: | Faculty of Law, Arts and Social Sciences > School of Social Sciences |
| Depositing User: | Unnamed user with email zshi@unite.edu.mk |
| Date Deposited: | 11 Sep 2026 09:53 |
| Last Modified: | 11 Sep 2026 09:53 |
| URI: | http://eprints.unite.edu.mk/id/eprint/2411 |
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