Two unusual cases of severe soft tissue infection caused by streptococcus dysgalactiae subsp. equisimilis

Journal of Clinical Microbiology

Volumn 48, Issue 4, 2010, Pages 1484-1487

  Kittang, Bård Reiakvam ^a,b   Langeland, Nina ^a,b   Skrede, Steinar ^b   Mylvaganam, Haima ^b  

^a UNIVERSITY OF BERGEN   (Norway)

^b HAUKELAND UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

CEFOTAXIME; CEFUROXIME; CLINDAMYCIN; M PROTEIN; PENICILLIN G;

ADULT; ANKLE EDEMA; ANTIBIOTIC SENSITIVITY; ARTICLE; BACTERIAL MUTATION; BLOOD CULTURE; CASE REPORT; CELLULITIS; CHILL; DISEASE COURSE; DISEASE SEVERITY; ERYTHEMA; FEVER; GENETIC CODE; HUMAN; HYPOTENSION; INTENSIVE CARE UNIT; INTERNATIONAL NORMALIZED RATIO; INTRAVENOUS ADMINISTRATION; KNEE SURGERY; MALE; NECROTIZING FASCIITIS; OLIGURIA; PAIN; PARONYCHIA; PREDICTOR VARIABLE; PRIORITY JOURNAL; SEPTIC SHOCK; SOFT TISSUE INFECTION; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; STREPTOCOCCUS DYSGALACTIAE EQUISIMILIS; SWELLING; TREATMENT DURATION;

AMINO ACID SEQUENCE; ANTIGENS, BACTERIAL; BACTERIAL OUTER MEMBRANE PROTEINS; BACTERIAL PROTEINS; CARRIER PROTEINS; CELLULITIS; DNA, BACTERIAL; FASCIITIS, NECROTIZING; HUMANS; MALE; MIDDLE AGED; MOLECULAR SEQUENCE DATA; MUTATION; SEQUENCE ANALYSIS, DNA; SEQUENCE DELETION; SHOCK, SEPTIC; SOFT TISSUE INFECTIONS; STREPTOCOCCAL INFECTIONS; STREPTOCOCCUS; VIRULENCE FACTORS;

BACTERIA (MICROORGANISMS); STREPTOCOCCUS DYSGALACTIAE SUBSP. EQUISIMILIS;

EID: 77950462053     PISSN: 00951137     EISSN: None     Source Type: Journal    
DOI: 10.1128/JCM.01737-09     Document Type: Article

References (27)

1. Bjornsdottir, S., M. Gottfredsson, A. S. Thorisdottir, G. B. Gunnarsson, H. Rikardsdottir, M. Kristjansson, and I. Hilmarsdottir. 2005. Risk factors for acute cellulitis of the lower limb: a prospective case-control study. Clin. Infect. Dis. 41:1416-1422.
2. Carratala, J., B. Roson, N. Fernandez-Sabe, E. Shaw, O. del Rio, A. Rivera, and F. Gudiol. 2003. Factors associated with complications and mortality in adult patients hospitalized for infectious cellulitis. Eur. J. Clin. Microbiol. Infect. Dis. 22:151-157.
3. Geary, P. P., J. Peterson, C. Chen, and C. Nelson. 1991. Virulent human strains of group G streptococci express a C5a peptidase enzyme similar to that produced by group A streptococci. Infect. Immun. 59:2305-2310.
4. Cohen-Poradosu, R., J. Joffe, D. Lavi, S. Grisariu-Greenzaid, R. Nir-Paz, L. Valinsky, M. Dan-Goor, C. Block, B. Beall, and A. E. Moses. 2004. Group G streptococcal bacteremia in Jerusalem. Emerg. Infect. Dis. 10:1455-1460.
5. Darenberg, J., B. Luca-Harari, A. Jasir, A. Sandgren, H. Pettersson, C. Schalen, M. Norgren, V. Romanus, A. Norrby-Teglund, and B. H. Normark. 2007. Molecular and clinical characteristics of invasive group A streptococcal, infection in Sweden. Clin. Infect. Dis. 45:450-458.
6. Dombek, P. E., D. Cue, J. Sedgewick, H. Lam, S. Ruschkowski, B. B. Finlay, and P. P. Cleary. 1999. High-frequency intracellular invasion of epithelial, cells by serotype Ml group A streptococci: M1 protein-mediated invasion and cytoskeletal rearrangements. Mol. Microbiol. 31:859-870.
7. Ekelund, K., P. Skinhoj, J. Madsen, and H. B. Konradsen. 2005. Invasive group A, B, C and G streptococcal infections in Denmark 1999-2002: epidemiological and clinical aspects. Clin. Microbiol. Infect. 11:569-576.
8. Eriksson, B., C. Jorup-Ronstrom, K. Karkkonen, A. C. Sjoblom, and S. E. Holm. 1996. Erysipelas: clinical and bacteriologic spectrum and serological aspects. Clin. Infect. Dis. 23:1091-1098.
9. Hashikawa, S., Y. Iinuma, M. Furushita, T. Ohkura, T. Nada, K. Toril, T. Hasegawa, and M. Ohta. 2004. Characterization of group C and G streptococcal, strains that cause streptococcal toxic shock syndrome. J. Clin. Microbiol. 42:186-192.
10. Hidalgo-Carballal, A., and M. P. Suarez-Mier. 2006. Sudden unexpected death in a child with varicella caused by necrotizing fasciitis and streptococcal toxic shock syndrome. Am. J. Forensic Med. Pathol. 27:93-96.
11. Humar, D., V. Datta, D. J. Bast, B. Beall, J. C. De Azavedo, and V. Nizet. 2002. Streptolysin S and necrotising infections produced by group G streptococcus. Lancet 359:124-129. (Pubitemid 34112541)
12. Igwe, E. L, P. L. Shewmaker, R. R. Facklam, M. M. Farley, C. van Beneden, and B. Beall. 2003. Identification of superantigen genes speM, ssa, and smeZ in invasive strains of beta-hemolytic group C and G streptococci recovered from humans. FEMS Microbiol. Lett. 229:259-264.
13. Ikebe, T., S. Murayama, K. Saitoh, S. Yamai, R. Suzuki, J. Isobe, D. Tanaka, C. Katsukawa, A. Tamaru, A. Katayama, Y. Fujinaga, K. Hoashi, and H. Watanabe. 2004. Surveillance of severe invasive group-G streptococcal infections and molecular typing of the isolates in Japan. Epidemiol. Infect. 132:145-149.
14. Kalia, A., and D. E. Bessen. 2003. Presence of streptococcal pyrogenic exotoxin A and C genes in human isolates of group G streptococci. FEMS Microbiol. Lett. 219:291-295.
15. Kittang, B. R., N. Langeland, and H. Mylvaganam. 2008. Distribution of emm types and subtypes among noninvasive group A, C and G streptococcal isolates in western Norway. APMIS 116:457-464.
16. Liao, C. H., L. C. Liu, Y. T. Huang, L. J. Teng, and P. R. Hsueh. 2008. Bacteremia caused by group G Streptococci, Taiwan. Emerg. Infect. Dis. 14:837-840.
17. Lintges, M., S. Arlt, P. Uciechowski, B. Plumakers, R. R. Reinert, A. AlLahham, R. Lutticken, and L. Rink. 2007. A new closed-tube multiplex real-time PCR to detect eleven superantigens of Streptococcus pyogenes identifies a strain without superantigen activity. Int. J. Med. Microbiol. 297: 471-478.
18. Pahlman, L. I., M. Morgelin, J. Eckert, L. Johansson, W. Russell, K. Riesbeck, O. Soehnlein, L. Lindbom, A. Norrby-Teglund, R. R. Schumann, L. Bjorck, and H. Herwald. 2006. Streptococcal M protein: a multipotent and powerful inducer of inflammation. J. Immunol. 177:1221-1228.
19. Perez-Casal, J., N. Okada, M. G. Caparon, and J. R. Scott 1995. Role of the conserved C-repeat region of the M protein of Streptococcus pyogenes. Mol. Microbiol. 15:907-916.
20. Perl, B., N. P. Gottehrer, D. Raveh, Y. Schlesinger, B. Rudensky, and A. M. Yinnon. 1999. Cost-effectiveness of blood cultures for adult patients with cellulitis. Clin. Infect. Dis. 29:1483-1488.
21. Petti, C. A., P. P. Bosshard, M. E. Brandt, J. E. Clarridge III, T. V. Feldblyum, P. Foxall, M. R. Furtado, N. Pace, and G. Procop. 2008. Interpretive criteria for identification of bacteria and fungi by DNA target sequencing. Approved guideline. Document MM18-A, vol.28, no.12. Clinical and Laboratory Standards Institute, Wayne, PA.
22. Poyart, C., G. Quesne, S. Coulon, P. Berche, and P. Trieu-Cuot. 1998. Identification of streptococci to species level by sequencing the gene encoding the manganese-dependent superoxide dismutase. J. Clin. Microbiol. 36: 41-47.
23. Saetre, T., A. K. Lindgaard, and T. Lyberg. 2000. Systemic activation of coagulation and fibrynolysis in a porcine model of serogroup A streptococcal shock. Blood Coagul. Fibrinolysis 11:433-438. (Pubitemid 30618523)
24. Schnitzler, N., A. Podbielski, G. Baumgarten, M. Mignon, and A. Kaufhold. 1995. M-protein or M-like-protein gene polymorphisms in human group-G streptococci. J. Clin. Microbiol. 33:356-363.
25. Shannon, O., E. Hertzen, A. Norrby-Teglund, M. Morgelin, U. Sjobring, and L. Bjorck. 2007. Severe streptococcal infection is associated with M proteininduced platelet activation and thrombus formation. Mol. Microbiol. 65: 1147-1157.
26. Sharma, M., R. Khatib, and M. Fakih. 2002. Clinical, characteristics of necrotizing fasciitis caused by group G Streptococcus: case report and review of the literature. Scand. J. Infect. Dis. 34:468-471.
27. Siljander, T., M. Karppelin, S. Vahakuopus, J. Syrjanen, M. Toropainen, J. Kere, R. Vuento, T. Jussila, and J. Vuopio-Varkila. 2008. Acute bacterial, nonnecrotizing cellulitis in Finland: microbiological findings. Clin. Infect. Dis. 46:855-861.