John Libbey Eurotext

European Journal of Dermatology

Necrotizing fasciitis caused by Streptococcus pneumoniae Volume 27, issue 3, May-June 2017

Figures

  • Figure 1

Tables

Authors
1 Department of Dermatology,
Shiga University of Medical Science,
Setatsukinowa,
Otsu,
Shiga 520-2192,
Japan
2 Departments of Clinical Laboratory Medicine,
Shiga University of Medical Science,
Otsu,
Shiga 520-2192,
Japan
3 Department of Bacteriology I,
National Institute of Infectious Diseases,
Japan,
Toyama 1-23-1,
Shinjuku,
Tokyo 162-8640,
Japan
4 Department of Critical and Intensive Care Medicine,
Shiga University of Medical Science,
Otsu,
Shiga 520-2192,
Japan

A 71-year-old Japanese man noticed a painful swelling on his right arm in 2015. He was admitted with a decreased level of consciousness and hypotension five days later. He had been suffering from viral liver cirrhosis. His history of pneumococcal vaccination was unclear. On admission, the level of consciousness was E4V3M4 on the Glasgow Coma Scale; fever (37.5̊C), hypotension (93/62 mmHg), tachycardia (120 beats/min), and dyspnoea, due to acute respiratory distress syndrome (not caused by bacterial [...]