개에게 물린 당뇨환자의 Streptococcus agalactiae, Arcanobacterium haemolyticum과 Finegoldia magna에 의한 괴사성 근막염 1예

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Other Titles: A Case of Necrotizing Fasciitis Due to Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a Dog-bitten Patient with Diabetes

MeSH: Actinomycetales Infections/diagnosis ; Actinomycetales Infections/microbiology ; Adult ; Animals ; Anti-Bacterial Agents/therapeutic use ; Arcanobacterium ; Bites and Stings/complications* ; Clindamycin/therapeutic use ; Diabetes Mellitus/diagnosis ; Diabetes Mellitus/therapy ; Dogs* ; Fasciitis, Necrotizing/diagnosis ; Fasciitis, Necrotizing/drug therapy ; Fasciitis, Necrotizing/microbiology* ; Female ; Gram-Positive Bacterial Infections/diagnosis ; Gram-Positive Bacterial Infections/microbiology ; Humans ; Penicillin G/therapeutic use ; Peptostreptococcus ; Streptococcal Infections/diagnosis ; Streptococcal Infections/microbiology ; Streptococcus agalactiae

Keywords: Necrotizing fasciitis ; Streptococcus agalactiae ; Arcanobacterium haemolyticum ; Finegoldia magna ; Diabetic patient

Abstract: We report a case of necrotizing fasciitis involving Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a 36-yr-old female diabetic patient, which started after a minor dog bite to the toe of the patient. This case suggested that a trivial infection after a minor dog bite in an immunocompromised patient such as diabetes patient could result in a significant complication such as necrotizing fasciitis. The life-threatening infection was cured by timely above-the-knee amputation, as well as penicillin G and clindamycin therapy.