Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiaesubspecies equisimilis in breast cancer-related lymphedema: a case report
Identifieur interne : 000162 ( Main/Exploration ); précédent : 000161; suivant : 000163Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiaesubspecies equisimilis in breast cancer-related lymphedema: a case report
Auteurs : Makoto Sumazaki ; Fumi Saito ; Hideaki Ogata ; Miho Yoshida ; Yorichika Kubota ; Syunsuke Magoshi ; Hironori KanekoSource :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2017.
Abstract
Breast cancer-related lymphedema often causes cellulitis and is one of the most common complications after breast cancer surgery. Streptococci are the major pathogens underlying such cellulitis. Among the streptococci, the importance of the Lancefield groups C and G is underappreciated; most cases involve
An 83-year-old Japanese woman with breast cancer-related lymphedema in her left upper limb was referred to our hospital with high fever and acute pain with erythema in her left arm. She showed septic shock with disseminated intravascular coagulation. Blood culture showed positive results for
To the best of our knowledge, this case represents the first report of
Url:
DOI: 10.1186/s13256-017-1350-z
PubMed: 28705211
PubMed Central: 5512883
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Streptococcal toxic-shock syndrome due to <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies equisimilis</italic>
in breast cancer-related lymphedema: a case report</title>
<author><name sortKey="Sumazaki, Makoto" sort="Sumazaki, Makoto" uniqKey="Sumazaki M" first="Makoto" last="Sumazaki">Makoto Sumazaki</name>
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<author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name>
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<author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">Breast cancer-related lymphedema often causes cellulitis and is one of the most common complications after breast cancer surgery. Streptococci are the major pathogens underlying such cellulitis. Among the streptococci, the importance of the Lancefield groups C and G is underappreciated; most cases involve <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies</italic>
<italic>equisimilis</italic>
. Despite having a relatively weak toxicity compared with group A streptococci, <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies</italic>
<italic>equisimilis</italic>
is associated with a mortality rate that is as high as that of group A streptococci in cases of invasive infection because <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies</italic>
<italic>equisimilis</italic>
mainly affects elderly individuals who already have various comorbidities.</p>
</sec>
<sec><title>Case presentation</title>
<p id="Par2">An 83-year-old Japanese woman with breast cancer-related lymphedema in her left upper limb was referred to our hospital with high fever and acute pain with erythema in her left arm. She showed septic shock with disseminated intravascular coagulation. Blood culture showed positive results for <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies</italic>
<italic>equisimilis</italic>
, confirming a diagnosis of streptococcal toxic-shock syndrome. She survived after successful intensive care.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par3">To the best of our knowledge, this case represents the first report of <italic>Streptococcus dysgalactiae</italic>
<italic>subspecies</italic>
<italic>equisimilis</italic>
-induced streptococcal toxic-shock syndrome in a patient with breast cancer-related lymphedema. Breast cancer-related lymphedema is a common problem, and we must pay attention to invasive streptococcal soft tissue infections, particularly in elderly patients with chronic disease.</p>
</sec>
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<name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name>
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<name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name>
<name sortKey="Sumazaki, Makoto" sort="Sumazaki, Makoto" uniqKey="Sumazaki M" first="Makoto" last="Sumazaki">Makoto Sumazaki</name>
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