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October 1991

Cutaneous Manifestations of Human Immunodeficiency Virus InfectionPart II

Author Affiliations

From the Division of Dermatology, New England Deaconess Hospital, and Department of Dermatology, Harvard Medical School, Boston, Mass.

Arch Dermatol. 1991;127(10):1549-1558. doi:10.1001/archderm.1991.01680090113015

Part I appeared in the September issue of the Archives.

Bacterial Infections 

Staphylococcus aureus Infection.—  Staphylococcus aureus is the most common pathogen in cutaneous and systemic bacterial infections occurring in HIV-infected individuals. Staphylococcus aureus colonizes the nose initially and may subsequently infect various sites. In both asymptomatic and symptomatic HIV-infected individuals, the S aureus nasal carriage rate is twice that of control groups. Staphylococcus aureus may also be locally invasive at the carriage site causing nasal abscess.The incidence of S aureus infection in HIV-infected patients is high, causing significant morbidity and mortality. In a study of 46 adult patients with AIDS, autopsy examination revealed that 83% had had a bacterial (nonmycobacterial) infection at some time during the course of their illness, of which 54% had been caused by S aureus. Nosocomial infections occur in HIV-infected patients at the rate of 3.46 per thousand hospital days compared with the rate

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