Invasive pneumococcal disease of serotype 6C with skin and soft tissue infections in an immunocompetent adult

Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Kiyozumi SuzukiMasayoshi Soma

Abstract

We report herein on a rare case of deep-soft tissue infection due to invasive pneumococcal disease (IPD). A 77-year-old woman was admitted to our hospital with progressive pain in the right upper arm and the distal leg associated with swelling. We diagnosed the condition as multiple instances of cellulitis that were initially treated with ceftriaxone and clindamycin. Penicillin-susceptible Streptococcus pneumoniae (PSSP) was isolated from blood cultures on admission. Although inflammatory marker levels improved following susceptive antibiotic therapy (ampicillin), multiple abscesses, septic arthritis and osteomyelitis were detected with image testing. The antibiotic was then changed to meropenem and arthroscopic surgery was performed for the right shoulder; the patient's clinical symptoms improved. Since pneumococcal infection including skin and soft tissue infection (SSTI) often causes blood stream invasion or metastatic suppurative complications, metastatic lesions or multiple abscesses should be taken care of.

References

Jan 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M T LawlorR Quintiliani
Jul 1, 1989·The Journal of Infection·N S PetersA G Rudd
Mar 1, 1982·Pediatric Infectious Disease·E D ShapiroB A Brozanski
May 1, 1994·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·K EkdahlJ H Braconier
Nov 1, 1995·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·P KragsbjergB Söderquist
May 29, 2000·Scandinavian Journal of Infectious Diseases·J P Parada, J N Maslow
Jun 5, 2003·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·O CapdevilaR Pallares
Feb 27, 2004·The New England Journal of Medicine·Morton N Swartz
Jan 31, 2006·Journal of the European Academy of Dermatology and Venereology : JEADV·C BachmeyerL Blum
Mar 21, 2007·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J M Garcia-LechuzUNKNOWN Spanish Pneumococcal Study Network
Oct 16, 2007·Clinical Microbiology Reviews·Hannah M Wexler
May 22, 2008·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Robertino MeraRonald N Jones
Oct 31, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael R JacobsAnne R Windau
Apr 24, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Rebecca J ZadrogaAnjum S Kaka
Mar 14, 2013·Microbial Drug Resistance : MDR : Mechanisms, Epidemiology, and Disease·Naoko ChibaUNKNOWN Invasive Pneumococcal Diseases Surveillance Study Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carbapenems (ASM)

Carbapenems are members of the beta lactam class of antibiotics and are used for the treatment of severe or high-risk bacterial infections. Discover the latest research on carbapenems here.

Bacterial Pneumonia

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Carbapenems

Carbapenems are members of the beta lactam class of antibiotics and are used for the treatment of severe or high-risk bacterial infections. Discover the latest research on carbapenems here.

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.

Bacterial Pneumonia (ASM)

Bacterial pneumonia is a prevalent and costly infection that is a significant cause of morbidity and mortality in patients of all ages. Here is the latest research.

Related Papers

The American Journal of the Medical Sciences
Tehmina Khan, David H Martin
Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
Hidetaka OtaYasuyoshi Ouchi
Journal of the European Academy of Dermatology and Venereology : JEADV
C BachmeyerL Blum
The American Journal of Emergency Medicine
S Lindsey WongAvinash K Shetty
Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases
Seiko NakamichiYoshiyuki Ozono
© 2021 Meta ULC. All rights reserved