Fatal Necrotizing Fasciitis Due to Streptococcus pneumoniae: A Case Report
Journal of Korean Medical Science
; : 131-134, 2011.
Article
in En
| WPRIM
| ID: wpr-211270
Responsible library:
WPRO
ABSTRACT
Necrotizing fasciitis is known to be a highly lethal infection of deep-seated subcutaneous tissue and superficial fascia. Reports of necrotizing fasciitis due to Streptococcus pneumoniae are exceedingly rare. We report a case of necrotizing fasciitis in a 62-yr-old man with liver cirrhosis and diabetes mellitus. He presented with painful swelling of left leg and right hand. On the day of admission, compartment syndrome was aggravated and the patient underwent surgical exploration. Intra-operative findings revealed necrotizing fasciitis and cultures of two blood samples and wound aspirates showed S. pneumoniae. The patient died despite debridement and proper antimicrobial treatment. To the best of our knowledge, this is the first case of fatal necrotizing fasciitis with meningitis reported in Korea. We also review and discuss the literature on pneumococcal necrotizing fasciitis.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Streptococcal Infections
/
Streptococcus pneumoniae
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Fatal Outcome
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Fasciitis, Necrotizing
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Diabetes Mellitus, Type 2
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Leg
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Liver Cirrhosis
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Anti-Bacterial Agents
Limits:
Humans
/
Male
Language:
En
Journal:
Journal of Korean Medical Science
Year:
2011
Document type:
Article