[Subcutaneous emphysema of unusual extent].
Streptococcus agalactiae, known as a pathogen that causes meningitis and septicemia in neonates, emerges as an invasive organism in nonpregnant adults. This case report describes the fulminant course of a necrotizing fasciitis (NF) with streptococcal toxic shock-like syndrome (STSS) in a 76-year-old diabetic patient caused by S. agalactiae, serotype V. Chronic diseases and immunodeficiency are considered to be risk factors for the acquisition of group B streptococcal disease. Since early surgical treatment in conjunction with antimicrobial and intensive care therapy is critical for the outcome of patients with NF and/or STSS, clinicians should be aware of invasive S. agalactiae infections in adults with subcutaneous emphysema.
Besier
S
S
Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Klinikum der Johann Wolfgang Goethe-Universität, 60596, Frankfurt am Main. s.besier@em.uni-frankfurt.de
Bingold
T M
TM
Walcher
F
F
Engels
K
K
Spellerberg
B
B
Brade
V
V
Brandt
C
C
D000038:Abscess / Q000601:surgery*; D000368:Aged; D000900:Anti-Bacterial Agents; D003422:Critical Care; D003646:Debridement; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D012772:Shock, Septic / Q000175:diagnosis / Q000601:surgery; D013290:Streptococcal Infections / Q000601:surgery*; D013292:Streptococcus agalactiae; D013352:Subcutaneous Emphysema / Q000209:etiology*; D013530:Surgical Wound Infection / Q000601:surgery*
D000900:Anti-Bacterial Agents