title: Surgical wound infection by Streptococcus pneumoniae after a cat-scratch disease.
abstract: Streptococcus pneumoniae (pneumococcus) is mostly known as an agent of meningitis and pneumonia. We present what is believed to be a previously unreported case of pneumococcal disease, involving an inguinal wound. A 10-year-old male patient underwent surgical removal of a cat-scratch disease-related enlarged groin lymph node; infection of the wound was soon observed, with multidrug-resistant S pneumoniae growing from the lesion discharge. This communication expands the spectrum of skin ulcer-infecting pathogens; in fact, although pneumococcus has been known to mostly affect central nervous system and airways, we observed a surgical wound infection by this organism.
authors.affiliation: Spirito Santo Hospital, Pescara (PE), Italy. vincenzo_savini@libero.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Savini
authors.forename: Valerio
authors.initials: V
authors.lastname: Cecinati
authors.forename: Daniela
authors.initials: D
authors.lastname: Onofrillo
authors.forename: Nicola Pietro
authors.initials: NP
authors.lastname: Consilvio
authors.forename: Ennio
authors.initials: E
authors.lastname: Polilli
authors.forename: Carlo
authors.initials: C
authors.lastname: Crescenzi
authors.forename: Paolo
authors.initials: P
authors.lastname: Fazii
authors.forename: Domenico
authors.initials: D
authors.lastname: D'Antonio
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018416:Bartonella henselae / Q000187:drug effects / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis / Q000601:surgery*; D002415:Cats; D002648:Child; D024901:Drug Resistance, Multiple, Bacterial; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013296:Streptococcus pneumoniae / Q000187:drug effects / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000188:drug therapy* / Q000382:microbiology* / Q000503:physiopathology; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: D000900:Anti-Bacterial Agents