A Case of Septicemide Caused by Infection due to Hemolytic Group C Streptococcus (<i>Streptococcus dysgalactiae subsp</i>. <i>equimilis</i>)

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  • HAYASHIDA Sayaka
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • SAIGO Shiori
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • HAMADA Manabu
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • MOROI Yoichi
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • URABE Kazunori
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University
  • FURUE Masutaka
    Department of Dermatology, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title
  • 溶血性C群連鎖球菌(<i>Streptococcus dysgalactiae subsp. equimilis</i>)
  • 症例 溶血性C群連鎖球菌(Streptococcus dysgalactiae subsp. equimilis)感染に伴う敗血疹の 1例
  • ショウレイ ヨウケツセイ Cグン レンサ キュウキン Streptococcus dysgalactiae subsp equimilis カンセン ニ トモナウ ハイ ケツシン ノ 1レイ

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Abstract

A 37-year-old male was admitted to our hospital in May 2002 because of severe pain in both lower extremities and the back accompanied by a 4-day history of high fever. He had undergone total aortic arch replacement for acute aortic dissection on 1994 and 2001. On admission, he had shock, disseminated intravascular coagulation and acute renal failure. Furthermore, he developed erythema on the left thigh and both feet and purpura on his right fingers. A histopathologic examination of the erythema revealed the presence of many neutrophils and gram-positive bacterial colonies in the subcutaneous tissues. β-hemolytic group C streptococcus (Streptococcus dysgalactiae subsp. equimilis) was detected from skin and blood cultures. The diagnosis of septicemide was confirmed. Imaging tests failed to detect the primary focus of the infection, and the patient died on the 18th day of hospitalization in spite of intensive care. Autopsy revealed the presence of abscesses at the patient's artificial vessel graft.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 66 (6), 594-598, 2004

    Western Division of Japanese Dermatological Association

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