title: [Invasive pneumococcal disease of serotype 6C with skin and soft tissue infections in an immunocompetent adult].
abstract: We report herein on a rare case of deep-soft tissue infection due to invasive pneumococcal disease (IPD). A 77-year-old woman was admitted to our hospital with progressive pain in the right upper arm and the distal leg associated with swelling. We diagnosed the condition as multiple instances of cellulitis that were initially treated with ceftriaxone and clindamycin. Penicillin-susceptible Streptococcus pneumoniae (PSSP) was isolated from blood cultures on admission. Although inflammatory marker levels improved following susceptive antibiotic therapy (ampicillin), multiple abscesses, septic arthritis and osteomyelitis were detected with image testing. The antibiotic was then changed to meropenem and arthroscopic surgery was performed for the right shoulder; the patient's clinical symptoms improved. Since pneumococcal infection including skin and soft tissue infection (SSTI) often causes blood stream invasion or metastatic suppurative complications, metastatic lesions or multiple abscesses should be taken care of.
authors.forename: Kiyozumi
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yuta
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Otsuka
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kasamaki
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Yanai
authors.forename: Kimitoshi
authors.initials: K
authors.lastname: Kato
authors.forename: Yu
authors.initials: Y
authors.lastname: Nagai
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Soma
mesh_terms: D000368:Aged; D002481:Cellulitis / Q000382:microbiology; D005260:Female; D006801:Humans; D007121:Immunocompetence; D011008:Pneumococcal Infections / Q000382:microbiology; D012871:Skin Diseases / Q000382:microbiology*; D018461:Soft Tissue Infections / Q000382:microbiology*