Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiaesubspecies equisimilis in breast cancer-related lymphedema: a case report
Identifieur interne : 009276 ( Ncbi/Merge ); précédent : 009275; suivant : 009277Streptococcal 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
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28705211</idno><idno type="pmc">5512883</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512883</idno><idno type="RBID">PMC:5512883</idno><idno type="doi">10.1186/s13256-017-1350-z</idno><date when="2017">2017</date><idno 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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><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Medical Case Reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rantala, S" uniqKey="Rantala S">S Rantala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ligozzi, M" uniqKey="Ligozzi M">M Ligozzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Erickson, Vs" uniqKey="Erickson V">VS Erickson</name></author><author><name sortKey="Pearson, Ml" uniqKey="Pearson M">ML Pearson</name></author><author><name sortKey="Ganz, Pa" uniqKey="Ganz P">PA Ganz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ryttov, N" uniqKey="Ryttov N">N Ryttov</name></author><author><name sortKey="Holm, Nv" uniqKey="Holm N">NV Holm</name></author><author><name sortKey="Qvist, N" uniqKey="Qvist N">N Qvist</name></author><author><name sortKey="Blichert Toft, M" uniqKey="Blichert Toft M">M Blichert-Toft</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simon, Ms" uniqKey="Simon M">MS Simon</name></author><author><name sortKey="Cody, Rl" uniqKey="Cody R">RL Cody</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><double pmid="28705211"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28705211</idno><idno type="pmc">5512883</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512883</idno><idno type="RBID">PMC:5512883</idno><idno type="doi">10.1186/s13256-017-1350-z</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000A50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A50</idno><idno type="wicri:Area/Pmc/Curation">000A49</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000A49</idno><idno type="wicri:Area/Pmc/Checkpoint">000068</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000068</idno></publicationStmt><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><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Medical Case Reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rantala, S" uniqKey="Rantala S">S Rantala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ligozzi, M" uniqKey="Ligozzi M">M Ligozzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Erickson, Vs" uniqKey="Erickson V">VS Erickson</name></author><author><name sortKey="Pearson, Ml" uniqKey="Pearson M">ML Pearson</name></author><author><name sortKey="Ganz, Pa" uniqKey="Ganz P">PA Ganz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ryttov, N" uniqKey="Ryttov N">N Ryttov</name></author><author><name sortKey="Holm, Nv" uniqKey="Holm N">NV Holm</name></author><author><name sortKey="Qvist, N" uniqKey="Qvist N">N Qvist</name></author><author><name sortKey="Blichert Toft, M" uniqKey="Blichert Toft M">M Blichert-Toft</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simon, Ms" uniqKey="Simon M">MS Simon</name></author><author><name sortKey="Cody, Rl" uniqKey="Cody R">RL Cody</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis 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><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan. makoto.sumazaki@med.toho-u.ac.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28705211</idno><idno type="pmid">28705211</idno><idno type="doi">10.1186/s13256-017-1350-z</idno><idno type="wicri:Area/PubMed/Corpus">000106</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000106</idno><idno type="wicri:Area/PubMed/Curation">000106</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000106</idno><idno type="wicri:Area/PubMed/Checkpoint">000106</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000106</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis 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><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan. makoto.sumazaki@med.toho-u.ac.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Division of Breast and Endocrine Surgery (Omori), Toho University School of Medicine, 6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451</wicri:regionArea><wicri:noRegion>143-8451</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of medical case reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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 Streptococcus dysgalactiae subspecies equisimilis. Despite having a relatively weak toxicity compared with group A streptococci, Streptococcus dysgalactiae subspecies equisimilis is associated with a mortality rate that is as high as that of group A streptococci in cases of invasive infection because Streptococcus dysgalactiae subspecies equisimilis mainly affects elderly individuals who already have various comorbidities.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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