title: [Necrotizing subcutaneous infection by Streptococcus agalactiae].
abstract: Necrotizing soft tissue infections constitute some of the most potentially threatening infections that may be acquired in the community or in the hospital milieu as they are associated with a high mortality rate. In most cases they are produced by Streptococcus pyogenes. We report a case of a necrotizing soft tissue infection caused by Streptococcus agalactiae (group B beta hemolytic streptococcus) that involved the leg of an elderly man with chronic lymphatic leukemia and diabetes mellitus. The lesions notably improved after initiating intravenous antibiotic treatment with amoxicillin-clavunate and clindamycin.
authors.affiliation: Servicio de Dermatología, Hospital Clínico Universitario, Valencia, Spain. jmMart@eresmas.com
authors.forename: J M
authors.initials: JM
authors.lastname: Martín
authors.forename: I
authors.initials: I
authors.lastname: Molina
authors.forename: D
authors.initials: D
authors.lastname: Ramón
authors.forename: C
authors.initials: C
authors.lastname: Monteagudo
authors.forename: V
authors.initials: V
authors.lastname: Alonso
authors.forename: E
authors.initials: E
authors.lastname: Jordá
mesh_terms: D000368:Aged; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D016867:Immunocompromised Host; D007866:Leg; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications; D008297:Male; D018461:Soft Tissue Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014946:Wound Infection / Q000150:complications / Q000382:microbiology; D000092464:Elbow Injuries
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D019980:Amoxicillin-Potassium Clavulanate Combination