Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis in breast cancer-related lymphedema: a case report.
Identifieur interne : 000105 ( PubMed/Checkpoint ); précédent : 000104; suivant : 000106Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis in breast cancer-related lymphedema: a case report.
Auteurs : Makoto Sumazaki [Japon] ; Fumi Saito [Japon] ; Hideaki Ogata [Japon] ; Miho Yoshida [Japon] ; Yorichika Kubota [Japon] ; Syunsuke Magoshi [Japon] ; Hironori Kaneko [Japon]Source :
- 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 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.
DOI: 10.1186/s13256-017-1350-z
PubMed: 28705211
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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><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28705211</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>14</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1752-1947</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jul</Month><Day>14</Day></PubDate></JournalIssue><Title>Journal of medical case reports</Title><ISOAbbreviation>J Med Case Rep</ISOAbbreviation></Journal><ArticleTitle>Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis in breast cancer-related lymphedema: a case report.</ArticleTitle><Pagination><MedlinePgn>191</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13256-017-1350-z</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText><AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">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 Streptococcus dysgalactiae subspecies equisimilis, confirming a diagnosis of streptococcal toxic-shock syndrome. She survived after successful intensive care.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">To the best of our knowledge, this case represents the first report of Streptococcus dysgalactiae subspecies equisimilis-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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sumazaki</LastName><ForeName>Makoto</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-1466-8277</Identifier><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saito</LastName><ForeName>Fumi</ForeName><Initials>F</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ogata</LastName><ForeName>Hideaki</ForeName><Initials>H</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yoshida</LastName><ForeName>Miho</ForeName><Initials>M</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kubota</LastName><ForeName>Yorichika</ForeName><Initials>Y</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Magoshi</LastName><ForeName>Syunsuke</ForeName><Initials>S</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaneko</LastName><ForeName>Hironori</ForeName><Initials>H</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Med Case Rep</MedlineTA><NlmUniqueID>101293382</NlmUniqueID><ISSNLinking>1752-1947</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Natl Cancer Inst. 2001 Jan 17;93(2):96-111</RefSource><PMID Version="1">11208879</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur J Clin Microbiol Infect Dis. 2014 Aug;33(8):1303-10</RefSource><PMID Version="1">24682845</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Med. 1992 Nov;93(5):543-8</RefSource><PMID Version="1">1364813</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Clin Microbiol. 2002 May;40(5):1681-6</RefSource><PMID Version="1">11980942</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Acta Oncol. 1988;27(6A):667-70</RefSource><PMID Version="1">3219220</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Breast cancer</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Streptococcal toxic shock syndrome</Keyword><Keyword MajorTopicYN="N">Streptococcus dysgalactiae subspecies equisimilis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28705211</ArticleId><ArticleId IdType="doi">10.1186/s13256-017-1350-z</ArticleId><ArticleId IdType="pii">10.1186/s13256-017-1350-z</ArticleId><ArticleId IdType="pmc">PMC5512883</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Sumazaki, Makoto" sort="Sumazaki, Makoto" uniqKey="Sumazaki M" first="Makoto" last="Sumazaki">Makoto Sumazaki</name></noRegion><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><name sortKey="Kubota, Yorichika" sort="Kubota, Yorichika" uniqKey="Kubota Y" first="Yorichika" last="Kubota">Yorichika Kubota</name><name sortKey="Magoshi, Syunsuke" sort="Magoshi, Syunsuke" uniqKey="Magoshi S" first="Syunsuke" last="Magoshi">Syunsuke Magoshi</name><name sortKey="Ogata, Hideaki" sort="Ogata, Hideaki" uniqKey="Ogata H" first="Hideaki" last="Ogata">Hideaki Ogata</name><name sortKey="Saito, Fumi" sort="Saito, Fumi" uniqKey="Saito F" first="Fumi" last="Saito">Fumi Saito</name><name sortKey="Yoshida, Miho" sort="Yoshida, Miho" uniqKey="Yoshida M" first="Miho" last="Yoshida">Miho Yoshida</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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