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Streptococcus pneumoniae: a rare skin pathogen?

P Kalima1, T Riordan

  • 1Exeter Public Health Laboratory, Church Lane, Heavitree, Exeter EX2 5AD, UK.

The Journal of Infection
|September 8, 2001
PubMed

Insights

Streptococcus pneumoniae rarely causes skin infections in adults. Many cases involve bloodstream infections (bacteraemia) and often require surgery alongside antibiotics.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Microbiology

Background:

  • Streptococcus pneumoniae is a leading cause of community-acquired pneumonia and invasive bacterial infections.
  • Skin infections are an uncommon manifestation of Streptococcus pneumoniae in adults.

Observation:

  • This study reviews three adult cases of Streptococcus pneumoniae skin infections.
  • A literature review identified 42 cases of this rare infection.

Findings:

  • Twenty-one percent of cases occurred in previously healthy individuals.
  • Bacteraemia (bloodstream infection) was present in 88% of cases.
  • Over half of the patients (52%) required surgical intervention in addition to antibiotic treatment.

Implications:

  • Highlights the importance of considering Streptococcus pneumoniae in adult skin infections, even in healthy individuals.
  • Emphasizes the high rate of bacteraemia and the frequent need for surgical management.
  • Informs clinical practice regarding diagnosis and treatment strategies for these rare infections.

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