Necrotizing fasciitis caused by Streptococcus pneumoniae in mixed connective tissue disease

Yuhara, Takamichi; Takemura, Hiroyuki; Akama, Takao; Yamane, Kunio; Sumida, Takayuki

doi:10.1007/s101650070029

Cited by 3 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sex ratio was 9:11, favoring women. Sixteen out of the 20 cases had underlying diseases: three cases with systemic lupus erythematosus, 10,12,19 three with diabetes mellitus, 11,19,22 two with rheumatoid arthritis, 8,17 two with chronic liver diseases including liver cirrhosis, 19 and single cases with mixed connective tissue disease, 14 idiopathic thrombocytopenic purpura 13 and post‐renal transplantation 20 . Two cases had no underlying disease, 15,18 and two cases were without such descriptions 19,23 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Necrotizing fasciitis caused by Streptococcus pneumoniae

Yamashiro

Asato

Taira

et al. 2009

The Journal of Dermatology

View full text Add to dashboard Cite

A 69-year-old woman presented with shivering and pain in the lower extremities on 5 April 2006; she was referred to the dermatology division of our hospital on the following day with difficulty in walking. She had been suffering from non-viral, non-alcoholic liver cirrhosis, and was being treated by the Division of Internal Medicine. Physical examination showed edema in the lower extremities and light purpuras on the groin and legs. Low blood pressure had been observed since admission. Necrotizing fasciitis (NF) was suspected on the basis of the skin symptoms, systemic conditions, and magnetic resonance imaging. During surgical debridement under general anesthesia, cardiopulmonary arrest occurred, and the patient died 12 h after admission. NF, in its early stages, exhibits few skin changes. In order to differentiate it from other skin infections, it is necessary to take into account blood pressure, abnormal systemic conditions, and severe pain out of proportion to its minor skin changes. In the present case, Streptococcus pneumoniae was detected by blood culture. Soft tissue infectious diseases caused by S. pneumoniae, especially NF, are very rare. We have reviewed reported cases of NF caused by S. pneumoniae.

show abstract

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, there are 20 reported cases of NF caused by S. pneumoniae including the present one (Table 1). [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Their ages range 18-86 years, with an average of 54.9 years. The sex ratio was 9:11, favoring women.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis caused by Streptococcus pneumoniae

Yamashiro

Asato

Taira

et al. 2009

The Journal of Dermatology

View full text Add to dashboard Cite

show abstract

“…3,4 Only one case of such a severe form of vasculitis causing tissue necrosis amounting to necrotising fasciitis has been reported. 8 Necrotising fasciitis is mentioned in connective tissue disorders after prolonged steroid use. 9 Considering the extensive tissue necrosis and large postdebridement wounds systemic steroids were withheld in our case.…”

Section: Managementmentioning

confidence: 99%

McTd With Large Vasculitic Ulcers- A Therapeutic Dilemma

Farande¹,

Petkar²,

Khandge³

2017

jemds

View full text Add to dashboard Cite

HOW TO CITE THIS ARTICLE:Farande PV, Petkar S, Khandge A. MCTD with large vasculitic ulcers-a therapeutic dilemma. J. Evolution Med. Dent. Sci. 2017;6(83):5825-5827, DOI: 10.14260/jemds/2017/1265 PRESENTATION OF CASEA 37 years old female, a homemaker, residing in Navi Mumbai, came with chief complaints of multiple painful, reddish black skin lesions with blisters since 2 days, fever since 15 days, ulcer over fingertips since 3 months, tightening of skin over face since 3 months.Patient was apparently alright about 3 months before when she first presented to us with complaints of bluish discoloration of her fingers on exposure to cold. On rewarming, the fingers used to become normal. This was followed by development of small ulcers over the fingertips, which later healed with stellate scars. About 3 months ago, she developed pain in the knee joints. The pain subsided temporarily by the analgesics prescribed by the local practitioner. She also developed swelling of hands and feet and tightening of her facial skin. About 15 days ago, she developed fever. It was of high grade and continuous type, subsiding temporarily with antipyretics. After a few days following the onset of fever she developed painful, reddishblack skin discoloration of skin over the left hand dorsum, right elbow and forearm and the right calf area. The painful discoloration rapidly increased in size and developed reddish fluid filled blisters. There was history of decreased appetite and weight loss. There was no history of photosensitivity, difficulty in swallowing, breathing or other systemic involvement. There was no history suggestive of any neurological or musculoskeletal impairment and urinary bladder disturbance. Past history was not significant. There was no history of drug allergy, medical or surgical illness. Menstrual history -3/28 days regular menstrual cycle. Attained menarche at the age of 17 years of age. Obstetric history-She has three children, all were full-term normal deliveries without any complications. She did not have any history of abortions. General ExaminationPatient was conscious, well-oriented to time, place and person. She was febrile. Her vitals were normal. She had moderate pallor and oedema of hands and both feet. Cutaneous examination revealed multiple areas of cutaneous necrosis in the form of indurated purpuric red skin with multiple haemorrhagic blisters.

show abstract

Soft Tissue Infections

Torralba¹,

Quismorio²

2009

Rheumatic Disease Clinics of North America

View full text Add to dashboard Cite

Necrotizing fasciitis caused by Streptococcus pneumoniae in mixed connective tissue disease

Cited by 3 publications

References 10 publications

Necrotizing fasciitis caused by Streptococcus pneumoniae

Necrotizing fasciitis caused by Streptococcus pneumoniae

McTd With Large Vasculitic Ulcers- A Therapeutic Dilemma

Soft Tissue Infections

Contact Info

Product

Resources

About