Arcanobacterium hemolyticum infection: confused with scarlet fever and diphtheria.
Arcanobacterium hemolyticum infections are a common cause of pharyngitis and rash in the 10- to 30-year-old age group. Despite its prevalence, many emergency and primary care physicians may not be aware of the pathogenic potential of this organism. We present a case that illustrates the distinctive clinical spectrum of A. hemolyticum infections that may be confused with drug allergy, group A streptococcal scarlet fever, diphtheria, and even toxic shock syndrome. Recognition of this syndrome will reduce misdiagnoses and facilitate appropriate treatment.
Kain
K C
KC
Division of Medical Microbiology, University of British Columbia, Vancouver, Canada.
Noble
M A
MA
Barteluk
R L
RL
Tubbesing
R H
RH
D000328:Adult; D003354:Corynebacterium Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003872:Dermatitis / Q000209:etiology*; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010612:Pharyngitis / Q000209:etiology*
D004917:Erythromycin