title: Postoperative pneumococcal cellulitis in systemic lupus erythematosus.
abstract: This paper reports a case of nosocomial pneumococcal cellulitis that developed following a lymph-node biopsy in a woman being treated with high-dose intravenous corticosteroids for systemic lupus erythematosis (SLE). Her rapid and severe clinical deterioration was similar to that caused by group A streptococcus. The risk factors for the development of nosocomial pneumococcal cellulitis as a complication of SLE are reviewed and preventive measures discussed.
authors.affiliation: Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
authors.forename: Kathleen R
authors.initials: KR
authors.lastname: Page
authors.forename: Petros C
authors.initials: PC
authors.lastname: Karakousis
authors.forename: Joel N
authors.initials: JN
authors.lastname: Maslow
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D002481:Cellulitis / Q000175:diagnosis / Q000382:microbiology*; D003428:Cross Infection / Q000175:diagnosis*; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008180:Lupus Erythematosus, Systemic / Q000276:immunology / Q000601:surgery*; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000379:methods; D011008:Pneumococcal Infections / Q000175:diagnosis*; D018570:Risk Assessment; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000276:immunology