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Modern Rheumatology Volume 21, 2011 - Issue 6
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Case Report

An autopsy case of necrotizing fasciitis with rapidly progressive purpura caused by hemolytic streptococcal infection in a patient with rheumatoid arthritis

Kanako IwataDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Yoshiyuki ArinumaDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, JapanCorrespondence[email protected]
,
Hisanori NakayamaDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Shinichi NogiDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Hidekazu FutamiDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Hirokazu TakaokaDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Atsushi HashimotoDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Kota ShimadaDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Akiko KomiyaDepartment of Rheumatology, Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, National Hospital Organization, Sagamihara, Kanagawa 252-0392, Japan
,
Toshihiro MatsuiDepartment of Rheumatology, Sagamihara National Hospital, National Hospital Organization, 18-1 Sakuradai, Minami-ku, Sagamihara, Kanagawa 252-0392, Japan
,
Ikuo SaitoDepartment of Pathology, Sagamihara National Hospital, National Hospital Organization, Sagamihara, Kanagawa 252-0392, Japan
&
Shigeto TohmaDepartment of Rheumatology, Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, National Hospital Organization, Sagamihara, Kanagawa 252-0392, Japan
 show all
Pages 669-672 | Received 22 Feb 2011, Accepted 25 Mar 2011, Published online: 02 Jan 2014

References

  • Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg. 2009;208:279–88.
  • Cheung JP, Fung B, Tang WM, Ip WY. A review of necrotizing fasciitis in the extremities. Hong Kong Med J. 2009;15:44–52.
  • Ellis Simonsen SM, van Orman ER, Hatch BE, Jones SS, Gren LH, Hegmann KT, et al. Cellulitis incidence in a defined popu-lation. Epidemiol Infect. 2006;134:293–9.
  • Mok MY, Wong SY, Chan TM, Tang WM, Wong WS, Lau CS. Necrotizing fasciitis in rheumatic disease. Lupus. 2006;15:380–3.
  • Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85–A:1454–60.
  • Stevens DL. Infections of the skin, muscle and soft tissues. In: Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, Loscalzo J, editors. Harrison's principles of internal medicine. 17th ed. New York: McGraw-Hill Book Co; 2008. p. 798–802.
  • Hsiao CT, Weng HH, Yuan YD, Chen CT, Chen IC. Predictors of mortality in patients with necrotizing fasciitis. Am J Emerg Med. 2008;26:170–1.
  • Anaya DA, Dellinger EP. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis. 2007;44:705–10.
  • Usatine RP, Sandy N. Dermatologic emergencies. Am Fam Physician. 2010;82:773–5.
  • Tang WM, Ho PL, Fung KK, Yuen KY, Leong JC. Necrotizing fasciitis of a limb. J Bone Joint Surg Br. 2001;83:709–14.
  • Naqvi GA, Malik SA, Jan W. Necrotizing fasciitis of the lower extremity: a case report and current concept of diagnosis and management. Scand J Trauma Resusc Emerg Med. 2009;17: 28.
  • Wysoki MG, Santora TA, Shah RM, Friedman AC. Necrotizing fasciitis: CT characteristics. Radiology. 1997;203:859–63.
  • Anaya DA, McMahon K, Nathens AB, Sullivan SR, Foy H, Bulger E. Predictors of mortality and limb loss in necrotizing soft tissue infections. Arch Surg. 2005;140:151–7.
  • Sudarsky LA, Laschinger JC, Coppa GF, Spencer FC. Improved results from a standardized approach in treating patients with necrotizing fasciitis. Ann Surg. 1987;206:661–5.
  • Oishi H, Ura Y, Mitsumizo S, Nakashima M. A collective review of Vibrio vulnificus infection in Japan. Kansenshogaku Zasshi. 2006;80:680-9 (in Japanese).
  • Liu LC, Tsai JC, Hsueh PR, Teng U. Rapid differentiation between members of the anginosus group and Streptococcus dysgalactiae subsp. equisimilis within beta-hemolytic group C and G streptococci by PCR. J Clin Microbiol. 2006;44:1836–8.
  • Sunaoshi KS, Aburahashi H, Kobayashi R, Yamamoto Y, Okuzumi K, Yoshida A, et al. Emm typing by genetic identification of Strep-tococcus dysgalactiae subsp. equisimilis and susceptibility to oral antibiotics. Kansenshogaku Zasshi. 2006;80:488-95 (in Japanese).
  • Kalia A, Enright MC, Spratt BG, Bessen DE. Directional gene movement from human-pathogenic to commensal-like strepto-cocci. Infect Immun. 2001;69:4858–69.
  • Kittang BR, Langeland N, Skrede S, Mylvaganam H. Two unusual cases of severe soft tissue infection caused by Streptococcus dys-galactiae subsp. equisimilis. J Clin Microbiol. 2010;48:1484–7.
  • Hashikawa S, Iinuma Y, Furushita M, Ohkura T, Nada T, Toni K, et al. Characterization of group C and G streptococcal strains that cause streptococcal toxic shock syndrome. J Clin Microbiol. 2004;42:186–92.
  • Stalbow J. Preventing cellulitis in older people with persistent lower limb oedema. Br J Nurs. 2004;13:725–32.
  • Cheung EV, Sperling JW, Cofield RH. Infection associated with hematoma formation after shoulder arthroplasty. Clin Orthop Relat Res. 2008;466:1363–7.
  • Capewell S, Reynold S, Shuttleworth D, Edwards C, Finlay AY. Purpura and dermal thinning associated with high dose inhaled corticosteroids. BMJ. 1990;300:1548–51.
  • Matsui T, Ohsumi K, Ozawa N, Shimada K, Sumitomo S, Shimane K, et al. CD64 on neutrophils is a sensitive and specific marker for detection of infection in patients with rheumatoid arthritis. J Rheu-matol. 2006;33:2416–24.

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