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July 1991

Palpable Purpura Associated With Corynebacterium jeikeium Endocarditis

Author Affiliations

Division of Infectious Diseases, ZA-89; Division of Dermatology Harborview Medical Center 325 Ninth Ave Seattle, WA 98104; Department of Medicine University of Washington Medical Center Seattle, WA 98195

Arch Dermatol. 1991;127(7):1071-1072. doi:10.1001/archderm.1991.01680060147033

To the Editor.—  Corynebacterium jeikeium, formerly named Corynebacterium group JK, commonly colonizes the skin and is distinguished from other diphtheroid organisms by its unique morphologic and biochemical properties.1 Infection with this organism has been described in three types of patients: (1) immunosuppressed granulocytopenic patients with indwelling central venous catheters2; (2) immunocompetent patients with indwelling plastic devices, such as peritoneal dialysis catheters or ventriculoperitoneal shunts3; and (3) patients with prosthetic valve endocarditis.4 While cutaneous manifestations associated with C jeikeium bacteremia have been described in approximately one quarter of patients, skin manifestations have not been reported in patients with C jeikeium endocarditis.5 In this case report, we describe a patient with palpable purpura associated with C jeikeium endocarditis.

Report of a Case.—  A 60-year-old man with alcoholic liver disease and a Denver peritoneovenous shunt was admitted to the hospital with macrocytic anemia and peripheral edema. The patient was

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