Necrotizing fasciitis resulting from Escherichia coli in a patient with chronic rheumatoid arthritis
Identifieur interne : 001B30 ( Main/Exploration ); précédent : 001B29; suivant : 001B31Necrotizing fasciitis resulting from Escherichia coli in a patient with chronic rheumatoid arthritis
Auteurs : Toshiro Sugimoto ; Jun Nakazawa ; Makiko Yomoda ; Kunio Hirata ; Mariko Soumura ; Taku Kawasaki ; Takashi Uzu ; Yoshihiko Nishio ; Hiroyuki Sugihara ; Yutaka Eguchi [Japon] ; Atsunori KashiwagiSource :
- APLAR Journal of Rheumatology [ 0219-0494 ] ; 2007-04.
English descriptors
- Teeft :
- Adsorbent column, Antibiotic, Aplar journal, Arthritis, Blood cultures, Bulla, Chronic lymphedema, Coli, Corticosteroid, Cutaneous manifestations, Debridement, Differential diagnosis, Diffuse necrosis, Endotoxin, Escherichia, Escherichia coli, Fascia, Fasciitis, Fatal infection, Haemodynamic support, Haemolytic streptococci, Immunosuppressive agents, Intensive therapy, Lower extremities, Lymphedema, Medical science, Multiple organ failure, Necrotizing, Necrotizing fasciitis, Rheumatoid, Rheumatoid arthritis, Rheumatology, Sepsis, Septic shock, Shiga, Shiga university, Streptococcus, Streptococcus debridement antibiotics, Subcutaneous tissue, Surgical procedures, Uptodate, Version uptodate.
Abstract
A middle‐aged woman with rheumatoid arthritis was admitted because of cellulitis on the leg. Twenty‐four hours after admission haemorrhagic blisters and bullae appeared on the lower extremity. Despite intensive therapy she died due to multiple organ failure at 50 h after admission. Post‐mortem examination revealed diffuse necrosis of fascia in her leg. Bacteriological study showed Escherichia coli in her blood cultures and fluid from a bulla, indicating that she had necrotizing fasciitis resulting from Escherichia coli. Necrotizing fasciitis is an uncommon but potentially fatal infection; thus, this disease should be considered in the differential diagnosis of any cutaneous manifestations in patients with rheumatoid arthritis.
Url:
DOI: 10.1111/j.1479-8077.2007.00257.x
Affiliations:
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Le document en format XML
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sort="Eguchi, Yutaka" uniqKey="Eguchi Y" first="Yutaka" last="Eguchi">Yutaka Eguchi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Critical and Intensive Care Medicine, Shiga University of Medical Science; Otsu, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Kashiwagi, Atsunori" sort="Kashiwagi, Atsunori" uniqKey="Kashiwagi A" first="Atsunori" last="Kashiwagi">Atsunori Kashiwagi</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">APLAR Journal of Rheumatology</title><title level="j" type="alt">APLAR JOURNAL OF RHEUMATOLOGY</title><idno type="ISSN">0219-0494</idno><idno type="eISSN">1479-8077</idno><imprint><biblScope unit="vol">10</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="57">57</biblScope><biblScope unit="page" to="59">59</biblScope><biblScope 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therapy</term><term>Lower extremities</term><term>Lymphedema</term><term>Medical science</term><term>Multiple organ failure</term><term>Necrotizing</term><term>Necrotizing fasciitis</term><term>Rheumatoid</term><term>Rheumatoid arthritis</term><term>Rheumatology</term><term>Sepsis</term><term>Septic shock</term><term>Shiga</term><term>Shiga university</term><term>Streptococcus</term><term>Streptococcus debridement antibiotics</term><term>Subcutaneous tissue</term><term>Surgical procedures</term><term>Uptodate</term><term>Version uptodate</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A middle‐aged woman with rheumatoid arthritis was admitted because of cellulitis on the leg. Twenty‐four hours after admission haemorrhagic blisters and bullae appeared on the lower extremity. Despite intensive therapy she died due to multiple organ failure at 50 h after admission. Post‐mortem examination revealed diffuse necrosis of fascia in her leg. Bacteriological study showed Escherichia coli in her blood cultures and fluid from a bulla, indicating that she had necrotizing fasciitis resulting from Escherichia coli. Necrotizing fasciitis is an uncommon but potentially fatal infection; thus, this disease should be considered in the differential diagnosis of any cutaneous manifestations in patients with rheumatoid arthritis.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Hirata, Kunio" sort="Hirata, Kunio" uniqKey="Hirata K" first="Kunio" last="Hirata">Kunio Hirata</name><name sortKey="Kashiwagi, Atsunori" sort="Kashiwagi, Atsunori" uniqKey="Kashiwagi A" first="Atsunori" last="Kashiwagi">Atsunori Kashiwagi</name><name sortKey="Kawasaki, Taku" sort="Kawasaki, Taku" uniqKey="Kawasaki T" first="Taku" last="Kawasaki">Taku Kawasaki</name><name sortKey="Nakazawa, Jun" sort="Nakazawa, Jun" uniqKey="Nakazawa J" first="Jun" last="Nakazawa">Jun Nakazawa</name><name sortKey="Nishio, Yoshihiko" sort="Nishio, Yoshihiko" uniqKey="Nishio Y" first="Yoshihiko" last="Nishio">Yoshihiko Nishio</name><name sortKey="Soumura, Mariko" sort="Soumura, Mariko" uniqKey="Soumura M" first="Mariko" last="Soumura">Mariko Soumura</name><name sortKey="Sugihara, Hiroyuki" sort="Sugihara, Hiroyuki" uniqKey="Sugihara H" first="Hiroyuki" last="Sugihara">Hiroyuki Sugihara</name><name sortKey="Sugimoto, Toshiro" sort="Sugimoto, Toshiro" uniqKey="Sugimoto T" first="Toshiro" last="Sugimoto">Toshiro Sugimoto</name><name sortKey="Uzu, Takashi" sort="Uzu, Takashi" uniqKey="Uzu T" first="Takashi" last="Uzu">Takashi Uzu</name><name sortKey="Yomoda, Makiko" sort="Yomoda, Makiko" uniqKey="Yomoda M" first="Makiko" last="Yomoda">Makiko Yomoda</name></noCountry><country name="Japon"><noRegion><name sortKey="Eguchi, Yutaka" sort="Eguchi, Yutaka" uniqKey="Eguchi Y" first="Yutaka" last="Eguchi">Yutaka Eguchi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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