Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/16417 |
Resumo: | AIMS: To report an unusual case of necrotizing fasciitis and septic shock caused by Streptococcus agalactiae, which affected a patient with diabetes mellitus. This analysis was performed using data from medical records and laboratory tests results, who was admitted to the University Hospital of Santa Maria, in Santa Maria, Rio Grande do Sul, Brazil. CASE DESCRIPTION: Female patient, 73 years old, diagnosed with diabetes mellitus and micronodular cirrhosis, was admitted with suspected septicemia simultaneous with an infection in the left lower limb, which initial diagnostic hypothesis was cellulitis. Based on characteristics of the clinical picture, the diagnosis of necrotizing fasciitis was done. Blood cultures from two different sites were positive for S. agalactiae. The patient died with septic shock. CONCLUSIONS: This case report emphasizes the severity of necrotizing fasciitis, which may occur especially in patients with predisposing factors such as diabetes mellitus and cirrhosis. |
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Scientia Medica (Porto Alegre. Online) |
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Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case reportFasciite necrosante por Streptococcus agalactiae em paciente diabética - relato de casoSTREPTOCOCCUS AGALACTIAESEPTIC SHOCKNECROTIZING FASCIITISDIABETES MELLITUSSTREPTOCOCCUS AGALACTIAECHOQUE SÉPTICOFASCIITE NECROSANTEDIABETES MELLITUSAIMS: To report an unusual case of necrotizing fasciitis and septic shock caused by Streptococcus agalactiae, which affected a patient with diabetes mellitus. This analysis was performed using data from medical records and laboratory tests results, who was admitted to the University Hospital of Santa Maria, in Santa Maria, Rio Grande do Sul, Brazil. CASE DESCRIPTION: Female patient, 73 years old, diagnosed with diabetes mellitus and micronodular cirrhosis, was admitted with suspected septicemia simultaneous with an infection in the left lower limb, which initial diagnostic hypothesis was cellulitis. Based on characteristics of the clinical picture, the diagnosis of necrotizing fasciitis was done. Blood cultures from two different sites were positive for S. agalactiae. The patient died with septic shock. CONCLUSIONS: This case report emphasizes the severity of necrotizing fasciitis, which may occur especially in patients with predisposing factors such as diabetes mellitus and cirrhosis.OBJETIVOS: Descrever um caso de fasciite necrosante e choque séptico ocasionado por Streptococcus agalactiae, que acometeu uma paciente com diabetes mellitus. Esta análise foi realizada através dos dados do prontuário e resultados de exames laboratoriais da paciente, que estava internada no Hospital Universitário de Santa Maria, em Santa Maria, Rio Grande do Sul. DESCRIÇÃO DO CASO: Paciente do gênero feminino, 73 anos, diagnosticada com diabetes mellitus e cirrose micronodular, foi internada com suspeita de septicemia, simultânea a uma infecção no membro inferior esquerdo, cuja hipótese diagnóstica inicial foi de celulite. Pelas características do quadro clínico, foi feito o diagnóstico de fasciite necrosante. Hemoculturas de dois sítios diferentes positivaram para S. agalactiae. A paciente foi a óbito por choque séptico. CONCLUSÕES: O relato deste caso enfatiza a gravidade da fasciite necrosante, que pode ocorrer principalmente em pacientes portadores de fatores predisponentes como diabetes mellitus e cirrose.Editora da PUCRS - ediPUCRS2014-06-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioncASE REPORT.Relato de caso raro ou de especial interesseRelato de caso.application/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1641710.15448/1980-6108.2014.2.16417Scientia Medica; Vol. 24 No. 2 (2014); 182-186Scientia Medica; v. 24 n. 2 (2014); 182-1861980-61081806-556210.15448/1980-6108.2014.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/16417/11505Rampelotto, Roberta FilipiniComiz, Thaís FrancoHörner, RosmariMartini, RosiéliGiacomolli, CláudiaRazia, Litiérri GarzonNunes, Melise Silveirainfo:eu-repo/semantics/openAccess2017-08-28T14:51:17Zoai:ojs.revistaseletronicas.pucrs.br:article/16417Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:51:17Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report Fasciite necrosante por Streptococcus agalactiae em paciente diabética - relato de caso |
title |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
spellingShingle |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report Rampelotto, Roberta Filipini STREPTOCOCCUS AGALACTIAE SEPTIC SHOCK NECROTIZING FASCIITIS DIABETES MELLITUS STREPTOCOCCUS AGALACTIAE CHOQUE SÉPTICO FASCIITE NECROSANTE DIABETES MELLITUS |
title_short |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
title_full |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
title_fullStr |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
title_full_unstemmed |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
title_sort |
Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report |
author |
Rampelotto, Roberta Filipini |
author_facet |
Rampelotto, Roberta Filipini Comiz, Thaís Franco Hörner, Rosmari Martini, Rosiéli Giacomolli, Cláudia Razia, Litiérri Garzon Nunes, Melise Silveira |
author_role |
author |
author2 |
Comiz, Thaís Franco Hörner, Rosmari Martini, Rosiéli Giacomolli, Cláudia Razia, Litiérri Garzon Nunes, Melise Silveira |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Rampelotto, Roberta Filipini Comiz, Thaís Franco Hörner, Rosmari Martini, Rosiéli Giacomolli, Cláudia Razia, Litiérri Garzon Nunes, Melise Silveira |
dc.subject.por.fl_str_mv |
STREPTOCOCCUS AGALACTIAE SEPTIC SHOCK NECROTIZING FASCIITIS DIABETES MELLITUS STREPTOCOCCUS AGALACTIAE CHOQUE SÉPTICO FASCIITE NECROSANTE DIABETES MELLITUS |
topic |
STREPTOCOCCUS AGALACTIAE SEPTIC SHOCK NECROTIZING FASCIITIS DIABETES MELLITUS STREPTOCOCCUS AGALACTIAE CHOQUE SÉPTICO FASCIITE NECROSANTE DIABETES MELLITUS |
description |
AIMS: To report an unusual case of necrotizing fasciitis and septic shock caused by Streptococcus agalactiae, which affected a patient with diabetes mellitus. This analysis was performed using data from medical records and laboratory tests results, who was admitted to the University Hospital of Santa Maria, in Santa Maria, Rio Grande do Sul, Brazil. CASE DESCRIPTION: Female patient, 73 years old, diagnosed with diabetes mellitus and micronodular cirrhosis, was admitted with suspected septicemia simultaneous with an infection in the left lower limb, which initial diagnostic hypothesis was cellulitis. Based on characteristics of the clinical picture, the diagnosis of necrotizing fasciitis was done. Blood cultures from two different sites were positive for S. agalactiae. The patient died with septic shock. CONCLUSIONS: This case report emphasizes the severity of necrotizing fasciitis, which may occur especially in patients with predisposing factors such as diabetes mellitus and cirrhosis. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion cASE REPORT. Relato de caso raro ou de especial interesse Relato de caso. |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/16417 10.15448/1980-6108.2014.2.16417 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/16417 |
identifier_str_mv |
10.15448/1980-6108.2014.2.16417 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/16417/11505 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 24 No. 2 (2014); 182-186 Scientia Medica; v. 24 n. 2 (2014); 182-186 1980-6108 1806-5562 10.15448/1980-6108.2014.2 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101750209085440 |