Necrotizing fasciitis caused by Streptococcus pneumoniae in mixed connective tissue disease

A 42-year-old man was hospitalized because of chills, fever, and severe polyarthralgia. He had a 5-year history of mixed connective tissue disease (MCTD) with polyarthritis which had been treated with a nonsteroidal anti-inflammatory drug alone. On the second day of hospitalization, necrotizing fasc...

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Bibliographic Details
Published inModern Rheumatology Vol. 10; no. 3; pp. 180 - 182
Main Authors Yuhara, Takamichi, Takemura, Hiroyuki, Akama, Takao, Yamane, Kazuhide, Sumida, Takayuki
Format Report
LanguageEnglish
Published Taylor & Francis 01.09.2000
Subjects
Mixed connective tissue disease
Necrotizing fasciitis
Streptococcus pneumoniae
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Summary:A 42-year-old man was hospitalized because of chills, fever, and severe polyarthralgia. He had a 5-year history of mixed connective tissue disease (MCTD) with polyarthritis which had been treated with a nonsteroidal anti-inflammatory drug alone. On the second day of hospitalization, necrotizing fasciitis of the right leg developed. Streptococcus pneumoniae was later detected in a blood culture. Pneumococcal infections of the soft tissues are uncommon, and have been reported in immunosuppressed patients and patients with systemic lupus erythematosus. This is the first report of a case of necrotizing fasciitis caused by S. pneumoniae in a patient with MCTD.
ISSN:1439-7595
1439-7609
DOI:10.3109/s101650070029