Bilateral necrotizing fasciitis of the foot associated with group B streptococcus

Keitaro Fukuda, Misao Ryujin, Reiko Sakio, Satoshi Fukuzumi, Takanori Omae, Kazuhito Hayakawa

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Necrotizing fasciitis (NF) is a severe bacterial infection involving fascia and subcutaneous tissue. It generally affects upper or lower extremities unilaterally, and there are few reports of bilateral-extremity NF. Here, we report a case of a 43-year-old male with type 1 diabetes who had NF on the left foot and subsequently developed NF on the other foot 1 week later. The patient survived with antimicrobial therapy and bilateral below-knee amputation. As group B streptococcus (GBS) was isolated by blood culture and culture of excised tissues of both feet, bilateral GBS NF of the foot was diagnosed. GBS is a rare causative pathogen in NF; however, there have been two case reports of bilateral GBS NF of an extremity in which NF appeared on the opposite extremity 1 week after the primary site infection, as in our case. GBS was isolated from cultures of blood and excised tissues of both extremities in both cases. Together, these observations suggest that GBS has a potential to cause secondary NF at remote sites by hematogenous dissemination with approximately 1 week delay and thereby lead to bilateral NF.

Original languageEnglish
Pages (from-to)243-249
Number of pages7
JournalCase Reports in Dermatology
Volume8
Issue number3
DOIs
Publication statusPublished - 2016 Sep 12
Externally publishedYes

Fingerprint

Necrotizing Fasciitis
Streptococcus agalactiae
Foot
Extremities
Fascia
Subcutaneous Tissue
Type 1 Diabetes Mellitus
Amputation
Bacterial Infections
Lower Extremity
Knee

Keywords

  • Diabetes
  • Group B streptococcus
  • Lower extremity
  • Necrotizing fasciitis bilateral

ASJC Scopus subject areas

  • Dermatology

Cite this

Bilateral necrotizing fasciitis of the foot associated with group B streptococcus. / Fukuda, Keitaro; Ryujin, Misao; Sakio, Reiko; Fukuzumi, Satoshi; Omae, Takanori; Hayakawa, Kazuhito.

In: Case Reports in Dermatology, Vol. 8, No. 3, 12.09.2016, p. 243-249.

Research output: Contribution to journalArticle

Fukuda, Keitaro ; Ryujin, Misao ; Sakio, Reiko ; Fukuzumi, Satoshi ; Omae, Takanori ; Hayakawa, Kazuhito. / Bilateral necrotizing fasciitis of the foot associated with group B streptococcus. In: Case Reports in Dermatology. 2016 ; Vol. 8, No. 3. pp. 243-249.
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