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Observation
September 2016

Acute Infection by Staphylococcus simulans in the Hand of a Man

Author Affiliations
  • 1Department of Dermatology, Hospital 12 de Octubre, Madrid, Spain
JAMA Dermatol. 2016;152(9):1060. doi:10.1001/jamadermatol.2016.0959

Staphylococcus simulans is a common animal pathogen that occasionally can colonize human skin.

A man in his 60s with a history of hypertension and diabetes mellitus, who worked as a butcher and occasional hunter and had contact with hares and rabbits, presented with lesions on left hand evolving over 3 days. Initially, vesiculobullous lesions appeared on the dorsal aspect of his left hand and extended into the web space between the first and second fingers (Figure, A). Within 2 days, the lesion extended to the palm and ventral aspect of the thumb with an eroded area on which pustules appeared (Figure, B). No fever or other systemic symptoms were present.

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