Postoperative pneumococcal cellulitis in systemic lupus erythematosus.
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.
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Kathleen R
KR
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA.
Karakousis
Petros C
PC
Maslow
Joel N
JN
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