A Case of Necrotizing Fasciitis due toStreptococcus pneumoniaeSerotype 5 in Saskatchewan Academic Article uri icon

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abstract

  • Necrotizing fasciitis due toStreptococcus pneumoniaeis a rare and grave condition, and only a few cases have been reported. Suggested risk factors include minor trauma, systemic lupus erythematosus, immunosuppression secondary to medication, use of intramuscular anti-inflammatories and alcoholism. A fatal case of pneumococcal necrotizing fasciitis that occurred in a 51-year-old woman with a history of alcohol abuse and oral anti-inflammatory use is presented. Her condition was caused by a multi-etiology outbreak of community-acquired pneumonia, from whichS pneumoniaeserotype 5 was also isolated. The case description outlines the subtle presentation and rapid clinical progression of this condition. Because serotype 5 antigen is included in the polysaccharide 23-valent pneumococcal vaccine, the present case highlights the importance of pneumococcal immunization programs in Canada.

authors

  • Dawar, Meenakshi
  • Russell, Bob
  • McClean, Karen
  • Levett, Paul N
  • Tyrrell, Gregory J
  • Irvine, James

publication date

  • 2008