A case of necrotizing fasciitis due to Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a dog-bitten patient with diabetes.
We report a case of necrotizing fasciitis involving Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a 36-yr-old female diabetic patient, which started after a minor dog bite to the toe of the patient. This case suggested that a trivial infection after a minor dog bite in an immunocompromised patient such as diabetes patient could result in a significant complication such as necrotizing fasciitis. The life-threatening infection was cured by timely above-the-knee amputation, as well as penicillin G and clindamycin therapy.
Lee
Sungsil
S
Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.
Roh
Kyoung Ho
KH
Kim
Chang Ki
CK
Yong
Dongeun
D
Choi
Jun Yong
JY
Lee
Jin Woo
JW
Lee
Kyungwon
K
Chong
Yunsop
Y
D000193:Actinomycetales Infections / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055667:Arcanobacterium; D001733:Bites and Stings / Q000150:complications*; D002981:Clindamycin / Q000627:therapeutic use; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000628:therapy; D004285:Dogs; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D010400:Penicillin G / Q000627:therapeutic use; D010462:Peptostreptococcus; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013292:Streptococcus agalactiae
D000900:Anti-Bacterial Agents; D002981:Clindamycin; D010400:Penicillin G