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Group A Streptococci-Associated Necrotizing Fasciitis following Cat Bite in an Immunocompromised Patient
Joint Authors
Nambiar, Sudheer
Karippot, Asha
Devasahayam, Joe
Oliver, Tony
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-11-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Necrotizing soft tissue infections are characterized clinically by fulminant tissue destruction, systemic signs of toxicity, and high mortality.
Accurate diagnosis and appropriate treatment must include early surgical intervention and antibiotic therapy.
Mortality rate is very high and could be even higher in an immunocompromised host.
We present a 57-year-old female with history of rheumatoid arthritis on oral corticosteroid and methotrexate therapy with painful swelling of the left hand following a cat bite that was diagnosed as having group A streptococcus pyogenes-associated necrotizing fasciitis.
Treatment with ampicillin-sulbactam, Clindamycin, and surgical debridement was performed.
In spite of all the adequate therapy she succumbed to death from streptococcal toxic shock and related complications after thirty-two days of treatment in intensive care unit.
Necrotizing fasciitis is an uncommon but life-threatening complication in immunocompromised hosts.
Tissue infections in cat bite wounds are commonly caused by pathogenic bacterium known as Pasteurella multocida.
Group A streptococcal infections are not reported following cat bites.
A high index of suspicion must be maintained to suspect group A streptococcal associated necrotizing fasciitis following cat bites and an early medical and surgical intervention should be made for any best possible outcome.
American Psychological Association (APA)
Nambiar, Sudheer& Karippot, Asha& Devasahayam, Joe& Oliver, Tony. 2017. Group A Streptococci-Associated Necrotizing Fasciitis following Cat Bite in an Immunocompromised Patient. Case Reports in Critical Care،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144344
Modern Language Association (MLA)
Nambiar, Sudheer…[et al.]. Group A Streptococci-Associated Necrotizing Fasciitis following Cat Bite in an Immunocompromised Patient. Case Reports in Critical Care No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144344
American Medical Association (AMA)
Nambiar, Sudheer& Karippot, Asha& Devasahayam, Joe& Oliver, Tony. Group A Streptococci-Associated Necrotizing Fasciitis following Cat Bite in an Immunocompromised Patient. Case Reports in Critical Care. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144344
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144344