title: A VLU complicated by severe group a streptococcal infection resulting in necrotising fasciitis and septic shock: a case report.
abstract: This case study outlines the management of a patient with a venous leg ulcer whose swabs cultured Staphylococcus aureus and beta-haemolytic streptococcus group A while in hospital with cellulitis, which was treated with antibiotics as per sensitivities. However, the patient presented at the emergency department five weeks later with a diagnosis of invasive group A streptococcal disease resulting in necrotising fasciitis and streptococcal toxic shock syndrome. This paper describes the holistic care and wound management that the patient received.
authors.affiliation: Dept of Nursing, University Hospitals, Limerick, Ireland.
authors.forename: H
authors.initials: H
authors.lastname: Meagher
authors.forename: M
authors.initials: M
authors.lastname: Corkery
authors.forename: L
authors.initials: L
authors.lastname: Concannon
authors.forename: E
authors.initials: E
authors.lastname: Kavanagh
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007871:Leg Ulcer / Q000150:complications*; D008297:Male; D012772:Shock, Septic / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013297:Streptococcus pyogenes / Q000187:drug effects; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000150:complications*; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents
keywords: invasive group A streptococcal disease; necrotising fasciitis; venous leg ulcer