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Pneumococcal crepitant cellulitis caused by a bronchocutaneous fistula
1Division of Infectious Diseases, University of Massachusetts Medical Center, Worcester.
Chest
|February 1, 1992
Summary
A rare case of Streptococcus pneumoniae infection led to a bronchocutaneous fistula in an elderly woman previously treated for lung cancer. This complication caused skin redness, swelling, and pain in the shoulder blade area.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiation Oncology
Background:
- Elderly patients undergoing radiation therapy for lung cancer are susceptible to treatment complications.
- Post-radiation complications can manifest with diverse and sometimes severe symptoms.
Observation:
- A patient presented with erythema, crepitus, and pain localized to the scapular region.
- These symptoms developed after radiation treatment for lung carcinoma.
Findings:
- Infection with Streptococcus pneumoniae was identified in the subcutaneous tissues.
- A bronchocutaneous fistula, an abnormal connection between the airway and skin, was diagnosed.
Implications:
- This case highlights a rare but serious complication of lung cancer radiation therapy.
- Early recognition of infectious complications and fistulas is crucial for patient management.