Acute Bacterial, Nonnecrotizing Cellulitis in Finland: Microbiological Findings

Siljander, Tuula; Karppelin, Matti; Vähäkuopus, Susanna; Syrjänen, Jaana; Toropainen, Maija; Kere, Juha; Vuento, Risto; Jussila, T; Vuopio‐Varkila, Jaana

doi:10.1086/527388

Cited by 57 publications

(36 citation statements)

References 36 publications

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“…A representative sample of GBS from each episode of bacteremia and the strain isolated from the mother's breast milk were analysed by pulsed field gel electrophoresis (PFGE) at The National Institute of Health and Welfare using standard methods previously described for Streptococcus pyogenes [10]. All strains had an identical PFGE profile (Fig.…”

Section: Case Reportmentioning

confidence: 99%

Three distinct episodes of GBS septicemia in a healthy newborn during the first month of life

et al. 2010

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In neonates, recurrent group B streptococcal infection is uncommon, and two relapses are extremely rare. We report a case of three distinct episodes of Streptococcus agalactiae bacteremia in a healthy full-term infant over a 4-week period. The newborn had no apparent predisposing condition or infectious focus, and the recurrences occurred after adequate antimicrobial treatment, the second occurring after withdrawal of colonized breast milk. Finally, oral rifampin was combined to his antibiotic regimen, his colonization cultures turned negative, and no further relapses have occurred during the 11-month follow-up. Conclusion In this report, we describe a newborn with two exceptionally rapid recurrences of group B streptococcal septicemias, and who was successfully treated with combining rifampin to the antibiotic regimen.

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Section: Case Reportmentioning

confidence: 99%

Three distinct episodes of GBS septicemia in a healthy newborn during the first month of life

et al. 2010

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“…The SDSE can be isolated as normal flora of human skin, nasopharynx, digestive tract and genitourinary system [10,19,27]. Pharyngeal [12,33,[47][48][49] and nasal [31] carrier-state of that pathogen has been reported. The frequency of pharyngeal carrier-state is different in particular populations.…”

Section: Introductionmentioning

confidence: 99%

Soft tissue infection caused by Streptococcus dysgalactiae subsp. equisimilis possessing group Aantigen: a and review of the literature

Karyński¹,

Letowska²,

Grzesiowski³

2012

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“…There is growing evidence for Streptococcus dysgalactiae subsp. equisimilis possessing group G antigen as an important cause of cellulitis (27). However, severe systemic infections, like streptococcal toxic shock syndrome (STSS) and NF, are very rare clinical manifestations of GGS disease (9,11,13,26).…”

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Two Unusual Cases of Severe Soft Tissue Infection Caused by Streptococcus dysgalactiae subsp. equisimilis

et al. 2010

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We present two cases of invasive infection caused by Streptococcus dysgalactiae subsp. equisimilis, one that showed rapidly developing necrotizing fasciitis in a previously healthy man and one that showed severe cellulitis and septic shock even though the bacterium possessed a mutated emm gene, predicted to encode a truncated M protein. CASE REPORTPatient 1 was a 48-year-old, previously healthy man admitted to Haukeland University Hospital in Western Norway with a fever and a rapidly spreading erythema of the skin overlying his right knee. The symptoms were preceded by a minor trauma toward the right knee 5 h prior to admission, leading to a disruption of the skin barrier. Blood pressure upon admission was 127/68 mm Hg, pulse rate 90/min, and temperature 39.6°C. Blood cultures were taken, and intravenous treatment with penicillin G at 5 million IU four times a day (q.i.d.) and clindamycin at 900 mg three times a day (t.i.d.) was started. Surgical exploration was performed 2 h later because of rapid deterioration of the patient's condition, and necrotic subcutaneous tissue and fascia of the lateral margin of the patella and the upper part of the calf were excised. Hypotension (blood pressure, 85/45 mm Hg) developed postoperatively, and normal blood pressure was reestablished after 5 to 6 h of intensive intravenous fluid therapy. Neither renal, hepatic, nor respiratory failure developed. The international normalized ratio (INR; normal range, Ͻ1

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Acute Bacterial, Nonnecrotizing Cellulitis in Finland: Microbiological Findings

Abstract: Group G streptococci, instead of group A streptococci, predominated in bacterial cellulitis. No clear predominance of a specific emm type was seen. The recurrent nature of cellulitis became evident during this study.

Cited by 57 publications

References 36 publications

Three distinct episodes of GBS septicemia in a healthy newborn during the first month of life

Three distinct episodes of GBS septicemia in a healthy newborn during the first month of life

Soft tissue infection caused by Streptococcus dysgalactiae subsp. equisimilis possessing group Aantigen: a and review of the literature

Two Unusual Cases of Severe Soft Tissue Infection Caused by Streptococcus dysgalactiae subsp. equisimilis

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