A case of multiple abscesses caused by group G <i>Streptococcus</i> in a long-term dialysis patient

Yokota Riyo, Fukuoka Kazuhito, Ozawa Yuko, Kobayashi Satoshi, Usui Koichi, Sato Ryosuke, Date Yuka, Hibino Satoru, Kawashima Soko, Ikegaya Noriko, Kawakami Takahisa, Kishimoto Mitsumasa, Shimoyamada Hiroaki, Kamma Hiroshi, Komagata Yoshinori, Kaname Shinya

doi:10.4009/jsdt.56.183

<p>A 75-year-old man, who had been on maintenance hemodialysis for 34 years since the age of 41, was admitted to our hospital due to a persistent fever of unknown origin. After a thorough examination, the fever was considered to be caused by purulent arthritis of the knee joints due to beta-hemolytic group G Streptococcus. Although subsequent antibiotic therapies and surgical treatments were performed, the pyogenic arthritis spread to multiple joints, and the patient eventually died of septicemia. Pathological autopsy revealed that there was multiple abscess formation at sites close to dialysis-related amyloid deposits, suggesting that the long-term dialysis exacerbated the infectious condition. Infections are a frequent cause of hospitalization and death in dialysis patients, and there is concern about an increase in various infectious diseases with the aging of the population. When a patient on long-term dialysis presents with fever of unknown origin, as in the case reported here, differential diagnosis should be made with consideration of infection of soft tissues, especially joints.</p>

A case of multiple abscesses caused by group G <i>Streptococcus</i> in a long-term dialysis patient

Bibliographic Information

Search this article

Abstract

Journal

References(16)*help

Keywords

Details 詳細情報について

Export

Report a problem