title: [Severe soft tissue infection with bulla formation, sepsis, multiple organ failure].
abstract: A 53-year old patient with diabetes mellitus presented with a painful swelling of the left thigh in an out-of-town hospital. Because of the slow progression associated with multiorgan dysfunction, a soft-tissue infection with sepsis was suspected. Strains of streptococcus of serogroup B were isolated from specimens, taken from certain areas of the affected skin. After transferring the patient to our hospital the diagnosis of a B-streptococcal associated necrotizing fasciitis was confirmed. Despite intensive medical treatment and several surgical interventions the patient deceased due to an acute severe liver failure as a consequence of a secondarily developed septic shock. In comparison to the well-known cases caused by streptococcus group A, the B-streptococcal associated necrotizing fasciitis is a rather rare occurring disease.
authors.affiliation: Medizinische Universitäts-Poliklinik Bonn.
authors.forename: R
authors.initials: R
authors.lastname: Bramer
authors.forename: S
authors.initials: S
authors.lastname: Fronhoffs
authors.forename: K
authors.initials: K
authors.lastname: Steuer
authors.forename: P
authors.initials: P
authors.lastname: Walger
authors.forename: H
authors.initials: H
authors.lastname: Vetter
mesh_terms: D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis*; D012772:Shock, Septic / Q000175:diagnosis*; D013292:Streptococcus agalactiae; D013848:Thigh