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Surgical wound infection by Streptococcus pneumoniae after a cat-scratch disease
Vincenzo Savini1, Valerio Cecinati, Daniela Onofrillo
1Spirito Santo Hospital, Pescara (PE), Italy. vincenzo_savini@libero.it
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.
Insights
A rare case of multidrug-resistant Streptococcus pneumoniae (pneumococcus) infection occurred in a surgical wound. This finding expands the known range of pneumococcal disease beyond the central nervous system and respiratory tract.
Area of Science:
- Infectious Diseases
- Microbiology
- Clinical Medicine
Background:
- Streptococcus pneumoniae, commonly known as pneumococcus, is a leading cause of bacterial meningitis and pneumonia.
- Pneumococcal infections typically affect the central nervous system and the respiratory system.
Observation:
- A 10-year-old male patient developed a surgical wound infection after lymph node removal.
- The infection was caused by multidrug-resistant Streptococcus pneumoniae.
Findings:
- This case represents a previously unreported instance of pneumococcal disease affecting an inguinal wound.
- The presence of multidrug-resistant S. pneumoniae in a skin lesion expands the spectrum of pathogens causing skin ulcers.
Implications:
- This case highlights the potential for S. pneumoniae to cause diverse infections, including skin and soft tissue infections.
- Clinicians should consider pneumococcus in the differential diagnosis of unusual wound infections, especially in cases involving multidrug-resistant strains.
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