Reticular Telangiectatic Erythema in Association to Implanted Medical Device
Maya Sebastian*
The Manchester Metropolitan University, UK.
*Corresponding Author: Maya Sebastian, The Manchester Metropolitan University, UK.
DOI: https://doi.org/10.58624/SVOAMB.2024.05.041
Received: May 10, 2024 Published: June 12, 2024
Abstract
Infections associated with implantable devices pose significant risks, as bacteria and other microorganisms can attach to the device surfaces, leading to complications ranging from mild inflammation to severe, potentially fatal infections. This review explores the development of reticular telangiectatic erythema (RTE) in patients with various implanted medical devices, including subcutaneous neurostimulators, shoulder prostheses, and hip prostheses. RTE manifests as red, net-like patches on the skin covering the device and is often associated with low-grade infections caused predominantly by Staphylococcus epidermidis, known for its biofilm-forming capability. The review presents three cases of RTE following device implantation, all resolving after antimicrobial treatment and device removal, despite negative patch tests for contact allergies. These cases highlight the importance of recognizing low-grade infections in patients with implanted devices and underscore the need for precise diagnostic and therapeutic strategies. The findings suggest that infections involving S. epidermidis play a critical role in the development of RTE. This review stresses the importance of preventive measures such as meticulous implantation techniques and prophylactic antibiotics and advocates for further research with larger sample sizes to better understand the role of microorganisms in RTE. It also calls for the development of improved diagnostic and treatment strategies. Future research directions include creating new materials resistant to biofilm formation, developing advanced antimicrobial agents, and enhancing diagnostic techniques to detect infections earlier.
Keywords: Implantable device-related infection; Reticular telangiectatic erythema; Staphylococcus epidermidis, Biofilm; Antimicrobial treatment
Citation: Sebastian M. Reticular Telangiectatic Erythema in Association to Implanted Medical Device. SVOA Microbiology 2024, 5:2, 34-38.