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Group G Streptococcus Bacteremia in Recurrent Cellulitis

Nicola di Meo ; University of Trieste, Dermatology Departement
Giuseppe Stinco ; Institute of Dermatology, Department of Experimental and Clinical Medicine, DISM, University of Udine, Italy
Nicoletta Gubertini ; University of Trieste, Dermatology Departement
Maria Martina Patriarca ; Institute of Dermatology, Department of Experimental and Clinical Medicine, DISM, University of Udine, Italy
Giusto Trevisan ; University of Trieste, Dermatology Departement

Abstract

In recent years, group G Streptococcus has been reported with increasing frequency as the cause of a variety of human infections. Underlying host factors such as immunosuppression, malignancy, diabetes mellitus, and rheumatoid arthritis may be predisposing conditions leading to infection. Toxic involvement and post-streptococcal sequalae, once believed to be exclusive to infections caused by group A Streptococcus, are now known to occur following acute group G Streptococcus and group C Streptococcus infections. We report on a case of group G Streptococcus bacteremia and recurrent cellulitis with toxic involvement. Patient blood cultures were always negative for β-hemolytic Streptococci in all the recurrences, except during the last one. Antibiotic therapy based on antibiogram quickly resolved the infection. A regimen of intramuscular injection of 1.2 million units of benzathine penicillin every 15 days for one year prevented recurrences of cellulitis.

Keywords

cellulitis, recurrent; bacteremia; group G Streptococcus; therapy

Hrčak ID:

130873

URI

https://hrcak.srce.hr/130873

Publication date:

17.12.2014.

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