Necrotizing Fasciitis Due to Penicillin-resistant Streptococcus pneumoniae

Takamatsu, Junpei; Ito, Takeshi; Nishimura, Tetsurou; Kishi, Masashi

doi:10.3893/jjaam.17.109

Cited by 1 publication

(1 citation statement)

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“…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%

Necrotizing fasciitis caused by Streptococcus pneumoniae

Yamashiro

Asato

Taira

et al. 2009

The Journal of Dermatology

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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.

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