title: Necrotic bullous erysipelas.
abstract: During the last few years streptococcal infections have been reported in connection with various cutaneous manifestations with severe or fatal outcome. A 62-year-old female with chronic interstitial nephritis was admitted with progression of confluent bullous lesions on her right leg. She had contracted a superficial scratch on her right foot 2 days prior to admission. Within 16 hours she deteriorated rapidly with symptoms on sepsis. Blood cultures and cutaneous swabs disclosed growth of beta-haemolytic streptococci group A. In spite of correct penicillin treatment she died 28 hours after admission. Skin biopsies from her right leg showed severe necrosis. This report is a reminder that new, cutaneous manifestations of streptococcal disease are still emerging.
authors.affiliation: Department of Internal Medicine C, Aalborg Hospital, Denmark.
authors.forename: J
authors.initials: J
authors.lastname: Agnholt
authors.forename: I
authors.initials: I
authors.lastname: Andersen
authors.forename: G
authors.initials: G
authors.lastname: Søndergaard
mesh_terms: D004886:Erysipelas / Q000382:microbiology / Q000473:pathology*; D005260:Female; D006801:Humans; D007866:Leg; D008875:Middle Aged; D009336:Necrosis; D012867:Skin / Q000382:microbiology / Q000473:pathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification