A case of necrotizing fasciitis due to Streptococcus pneumoniae serotype 5 in Saskatchewan.

The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale
Meenakshi DawarJames Irvine

Abstract

Necrotizing fasciitis due to Streptococcus pneumoniae is a rare and grave condition, and only a few cases have been reported. Suggested risk factors include minor trauma, systemic lupus erythematosus, immunosuppression secondary to medication, use of intramuscular anti-inflammatories and alcoholism. A fatal case of pneumococcal necrotizing fasciitis that occurred in a 51-year-old woman with a history of alcohol abuse and oral anti-inflammatory use is presented. Her condition was caused by a multi-etiology outbreak of community-acquired pneumonia, from which S pneumoniae serotype 5 was also isolated. The case description outlines the subtle presentation and rapid clinical progression of this condition. Because serotype 5 antigen is included in the polysaccharide 23-valent pneumococcal vaccine, the present case highlights the importance of pneumococcal immunization programs in Canada.

Citations

May 1, 2019·BMC Infectious Diseases·Nichlas HovmandBirgitte Rønde Hansen
Apr 21, 2017·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·T J MarrieDean T Eurich
Jan 11, 2011·Journal of Korean Medical Science·So-Youn ParkMi Suk Lee
Apr 21, 2012·Emerging Infectious Diseases·Gregory J TyrrellThomas J Marrie

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