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Necrotic bullous erysipelas.

J Agnholt1, I Andersen, G Søndergaard

  • 1Department of Internal Medicine C, Aalborg Hospital, Denmark.

Acta Medica Scandinavica
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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A severe streptococcal infection caused rapid sepsis and fatal skin necrosis in a 62-year-old woman with kidney disease after a minor foot scratch. This case highlights emerging cutaneous manifestations of Group A Streptococcus.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Nephrology

Background:

  • Streptococcal infections are increasingly associated with severe cutaneous manifestations.
  • Prompt recognition and treatment are crucial for managing invasive streptococcal disease.

Observation:

  • A 62-year-old female with chronic interstitial nephritis presented with rapidly progressing bullous lesions on her leg following a minor foot scratch.
  • The patient developed sepsis within 16 hours of symptom onset.

Findings:

  • Blood cultures and skin swabs identified beta-haemolytic streptococci group A.
  • Skin biopsies revealed severe necrosis, indicating aggressive tissue destruction.
  • Despite appropriate penicillin treatment, the patient died 28 hours after admission.

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Implications:

  • This case underscores the emergence of novel and severe cutaneous presentations of streptococcal infections.
  • It emphasizes the need for heightened clinical suspicion for invasive Group A Streptococcus, even with seemingly minor skin injuries.
  • The report serves as a critical reminder for healthcare professionals regarding the potential for rapid deterioration and fatal outcomes in such cases.