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Human Bite-induced Cellulitis Due to Streptococcus pyogenes
Gulsen Akkoc1, Eda Kepenekli Kadayıfcı1, Ayse Karaaslan1
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Marmara University School of Medicine, Istanbul, Turkey.
Wounds : a Compendium of Clinical Research and Practice
|April 22, 2016
Summary
Human bites can lead to serious Streptococcus pyogenes infections, like cellulitis. Prompt antibiotic treatment, such as ampicillin-sulbactam, is crucial for recovery and preventing complications.
Area of Science:
- Infectious Diseases
- Microbiology
- Pediatrics
Background:
- Human bites carry a 10%-30% infection risk.
- Streptococcus species are common pathogens causing severe infections, including necrotizing fasciitis.
Observation:
- A 5-year-old girl presented with fever and arm pain following a human bite.
- Clinical diagnosis was cellulitis, confirmed by wound culture identifying Streptococcus pyogenes.
Findings:
- The patient received intravenous ampicillin-sulbactam, resulting in successful treatment.
- This case highlights Streptococcus pyogenes as a cause of post-bite wound infections.
Implications:
- Close patient monitoring is essential for human bite wound infections.
- Consider chemoprophylaxis to prevent secondary bacterial infections in at-risk individuals.
- This case represents the first report of cellulitis caused by Streptococcus pyogenes after a human bite.
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