A Case of Humeral Osteomyelitis and Soft Tissue Abscess Accompanied with Streptococcus anginosus Bacteremia

Han, Woo Jin; Cho, Moon Sook; Lee, Jung Hyun; Ahn, Hong-Dae; Yoon, Kyu Hyun; Seo, Jong Goo; Kim, Jin Yong; Kim, Sue-Yun; Park, Yoon Soo; Seo, Yiel Hea; Cho, Yong Kyun

doi:10.3947/ic.2008.40.5.281

Infect Chemother

2008

DOI: 10.3947/ic.2008.40.5.281

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A Case of Humeral Osteomyelitis and Soft Tissue Abscess Accompanied with Streptococcus anginosus Bacteremia

Woo Jin Han

Moon Sook Cho

Jung Hyun Lee

et al.

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Cited by 2 publications

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Gas Gangrene Caused by <i>Streptococcus anginosus</i>

Chung¹,

Jung²,

Park³

et al. 2016

Korean J Med

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Gas gangrene, a subset of necrotizing myositis, is a bacterial infection that produces gas in tissues in gangrene. It is usually caused by Clostridium species, most commonly Clostridium perfringens. Streptococcus anginosus is a rare cause of gas gangrene, with very few cases reported. We report a rare case of traumatic gas gangrene caused by S. anginosus in a 57-year-old female with diabetes after being stabbed with scissors. (Korean J Med 2016;90:173-176) 서 론 가스 괴저는 세균이 감염되면서 근육이 괴사되고, 근육 내에 가스가 형성되는 전신 감염 질환이다. 주요 원인은 Clostridium species와 같은 혐기성 균으로, 외상이나 수술 후에 흔히 발 생하는 것으로 알려져 있다. 혐기성 균주 중에서 Clostridium perfrigens가 가장 흔한 원인 균이지만, 그 외에도 Clostridium novyi, Clostridium septicum, Clostridium ramnosum 등이 보고 되고 있다[1]. 그 외의 원인 균으로는 Klebsiella pneumoniae나 Escherichia coli와 같은 Enterobacteriacae 균주가 드물게 보고 되었다. Streptococcus anginosus는 viridans streptococci의 일종으로 구강과 위장관, 호흡기, 비뇨생식기의 상재균인데, 감염이 될 경우에는 연부조직 감염을 잘 일으키는 것으로 알려져 있다[2]. 그러나 S. anginosus에 의한 가스 괴저는 매우 드문 질환으로 문헌 검색을 했을 때, 국외에서 3예가 보고되었다[3-5]. 이에 저자들은 당뇨를 가진 환자에서 가위에 찔린 상처를 통해 감염된 S. anginosus에 의한 오른쪽 다리의 가스 괴저 사 례를 경험하여서 문헌고찰과 함께 보고하는 바이다. 증 례 환 자: 57세 여자 주호소: 오른쪽 무릎 통증과 부종

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Gas Gangrene Caused by <i>Streptococcus anginosus</i>

Chung¹,

Jung²,

Park³

et al. 2016

Korean J Med

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A Case of Fournier's Gangrene Caused byStreptococcus anginosus

Lee

Kim

et al. 2011

Infect Chemother

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Fournier's gangrene is a rare, rapidly progressive, necrotizing fasciitis of the genital, perianal and perineal regions. It is usually caused by a synergistic infection of aerobic and anaerobic organisms. A 51-year-old male patient with diabetes mellitus and chronic renal insufficiency on peritoneal dialysis was admitted with severe scrotal pain and swelling that lasted 4 days. An emergent non-contrast-enhanced computed tomography revealed extensive gas formation, fatty haziness and edema

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A Case of Humeral Osteomyelitis and Soft Tissue Abscess Accompanied with Streptococcus anginosus Bacteremia

Cited by 2 publications

References 10 publications

Gas Gangrene Caused by <i>Streptococcus anginosus</i>

Gas Gangrene Caused by <i>Streptococcus anginosus</i>

A Case of Fournier's Gangrene Caused byStreptococcus anginosus

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A Case of Humeral Osteomyelitis and Soft Tissue Abscess Accompanied with Streptococcus anginosus Bacteremia

Cited by 2 publications

References 10 publications

Gas Gangrene Caused by &lt;i&gt;Streptococcus anginosus&lt;/i&gt;

Gas Gangrene Caused by &lt;i&gt;Streptococcus anginosus&lt;/i&gt;

A Case of Fournier's Gangrene Caused byStreptococcus anginosus

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Gas Gangrene Caused by <i>Streptococcus anginosus</i>

Gas Gangrene Caused by <i>Streptococcus anginosus</i>