# Distributive Shock in a Case of Erythrodermic Psoriasis Associated With Bacteremia From Multiple Opportunistic Pathogens: A Case Report

## TL;DR

A 59-year-old woman with severe psoriasis died within 48 hours due to a life-threatening infection and shock caused by multiple opportunistic bacteria.

## Contribution

This case report highlights the rapid progression and fatal outcome of distributive shock in a patient with erythrodermic psoriasis and polymicrobial bacteremia.

## Key findings

- Erythrodermic psoriasis can lead to severe distributive shock and fatal outcomes within 48 hours.
- Bacteremia caused by multiple opportunistic pathogens was identified in the patient.
- The case underscores the complexity and severity of infections in patients with severe psoriasis.

## Abstract

Erythrodermic psoriasis is a specific form of psoriasis that can present with life-threatening complications and complex management. Circulatory shock and bacterial infection related to the skin lesions are among the causes that can lead to the patient's death. Furthermore, alterations of these patients’ bacterial flora could be involved in the development of the pathology and its complications. We report here the case of a 59-year-old female with erythrodermic psoriasis who presented with severe distributive shock and bacteremia caused by multiple opportunistic pathogens, resulting in a fatal outcome in less than 48 hours.