Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiaesubspecies equisimilis in breast cancer-related lymphedema: a case report
Identifieur interne : 000A49 ( Pmc/Curation ); précédent : 000A48; suivant : 000A50Streptococcal 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 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></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 article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">J Med Case Rep</journal-id><journal-title-group><journal-title>Journal of Medical Case Reports</journal-title></journal-title-group><issn pub-type="epub">1752-1947</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28705211</article-id><article-id pub-id-type="pmc">5512883</article-id><article-id pub-id-type="publisher-id">1350</article-id><article-id pub-id-type="doi">10.1186/s13256-017-1350-z</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Streptococcal toxic-shock syndrome due to <italic>Streptococcus dysgalactiae</italic><italic>subspecies equisimilis</italic> in breast cancer-related lymphedema: a case report</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-1466-8277</contrib-id><name><surname>Sumazaki</surname><given-names>Makoto</given-names></name><address><phone>+81-3-3762-4151</phone><email>makoto.sumazaki@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Saito</surname><given-names>Fumi</given-names></name><address><email>fumi.saitou@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ogata</surname><given-names>Hideaki</given-names></name><address><email>ogatah@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Yoshida</surname><given-names>Miho</given-names></name><address><email>miho.yoshida@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Kubota</surname><given-names>Yorichika</given-names></name><address><email>yorichika.kubota@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Magoshi</surname><given-names>Syunsuke</given-names></name><address><email>magoshi@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Kaneko</surname><given-names>Hironori</given-names></name><address><email>hironori@med.toho-u.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9290 9879</institution-id><institution-id institution-id-type="GRID">grid.265050.4</institution-id><institution>Department of Surgery, Division of Breast and Endocrine Surgery (Omori),</institution><institution>Toho University School of Medicine,</institution></institution-wrap>6-11-1 Omori-Nishi, Ota-ku, Tokyo, 143-8451 Japan</aff></contrib-group><pub-date pub-type="epub"><day>14</day><month>7</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>14</day><month>7</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>11</volume><elocation-id>191</elocation-id><history><date date-type="received"><day>17</day><month>5</month><year>2016</year></date><date date-type="accepted"><day>6</day><month>6</month><year>2017</year></date></history><permissions><copyright-statement>© The Author(s). 2017</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Breast cancer</kwd><kwd>Lymphedema</kwd><kwd><italic>Streptococcus dysgalactiae</italic><italic>subspecies</italic><italic>equisimilis</italic></kwd><kwd>Streptococcal toxic shock syndrome</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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