A Case of Necrotizing Fasciitis Due to Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a Dog-bitten Patient with Diabetes.
10.3343/kjlm.2008.28.3.191
- Author:
Sungsil LEE
1
;
Kyoung Ho ROH
;
Chang Ki KIM
;
Dongeun YONG
;
Jun Yong CHOI
;
Jin Woo LEE
;
Kyungwon LEE
;
Yunsop CHONG
Author Information
1. Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea. deyong@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Necrotizing fasciitis;
Streptococcus agalactiae;
Arcanobacterium haemolyticum;
Finegoldia magna;
Diabetic patient
- MeSH:
Actinomycetales Infections/diagnosis/microbiology;
Adult;
Animals;
Anti-Bacterial Agents/therapeutic use;
Arcanobacterium;
Bites and Stings/*complications;
Clindamycin/therapeutic use;
Diabetes Mellitus/diagnosis/therapy;
*Dogs;
Fasciitis, Necrotizing/diagnosis/drug therapy/*microbiology;
Female;
Gram-Positive Bacterial Infections/diagnosis/microbiology;
Humans;
Penicillin G/therapeutic use;
Peptostreptococcus;
Streptococcal Infections/diagnosis/microbiology;
Streptococcus agalactiae
- From:The Korean Journal of Laboratory Medicine
2008;28(3):191-195
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of necrotizing fasciitis involving Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a 36-yr-old female diabetic patient, which started after a minor dog bite to the toe of the patient. This case suggested that a trivial infection after a minor dog bite in an immunocompromised patient such as diabetes patient could result in a significant complication such as necrotizing fasciitis. The life-threatening infection was cured by timely above-the-knee amputation, as well as penicillin G and clindamycin therapy.
