Necrotizing fasciitis caused by Streptococcus agalactiae in a diabetic patient - case report

Detalhes bibliográficos
Autor(a) principal: Rampelotto, Roberta Filipini
Data de Publicação: 2014
Outros Autores: Comiz, Thaís Franco, Hörner, Rosmari, Martini, Rosiéli, Giacomolli, Cláudia, Razia, Litiérri Garzon, Nunes, Melise Silveira
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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spelling 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

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