Acute renal failure in a young male with cellulitis in the lower leg

Acute renal failure in a young male with cellulitis in the lower leg

An Med Interna. 2008 Jun

Rodríguez Lorenzo A, Martelo Villar F.
Servicio de Cirugía Plástica y Quemados, Complejo Hospitalario Universitario Juan Canalejo, A Coruña, España.

Necrotizing fascitiis due to Streptococcus Pyogenes has a high mortality rate. Detection of the infection before it developes to the streptococcal toxic shock syndrome is quite challenging and its one of the main goals of its management because at this final stage the treatment is in most of the cases ineffective. In a secuence of events of the progression of the infection to shock, renal failure occurs before hipotension very often. We report the case of a 38-year-old patient affected by a fulminant necrotizing fascitiis by Streptococcus Pyogenes which presented at admission with lower leg cellulitis and acute renal failure.

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Streptococcal cellulitis following preparation of fresh raw seafood.

Streptococcal cellulitis following preparation of fresh raw seafood.
Zoonoses Public Health. 2009 May

Koh TH, Sng LH, Yuen SM, Thomas CK, Tan PL, Tan SH, Wong NS.
Department of Pathology, Singapore General Hospital, Singapore.

We describe three zoonotic streptococcal soft tissue infections resulting from fresh seafood contact. One was a localized thumb infection with Streptococcus iniae in an immunocompetent healthy young male resulting from a puncture wound from a crab pincer. The other two were cases of ascending upper limb cellulitis associated with bacteraemia in mastectomy patients. One of these infections was caused by S. iniae while the other was caused by Streptococcus dysgalactiae subsp. dysgalactiae, a species that has not been previously described as a cause of zoonotic infection. Hence when cleaning raw seafood, protective equipment should be used to minimize the risk of percutaneous injuries.

Wiley InterScience

Langerhans cell histiocytosis mimicking preseptal cellulitis.

Langerhans cell histiocytosis mimicking preseptal cellulitis.
J Pediatr Ophthalmol Strabismus. 2009 Mar-Apr

Kempster R, Ang GS, Galloway G, Beigi B.
Adnexal Service, Department of Ophthalmology Norfolk & Norwich University Hospital, Norwich, United Kingdom.

A 7-year-old girl presented with signs of preseptal cellulitis that initially responded to antibiotics but then relapsed. Computed tomography scan revealed a cystic lesion in the preseptal tissues with associated soft tissue swelling and lacrimal gland inflammation. Anterior orbitotomy revealed a hemorrhagic-appearing lesion extending from the preseptal tissues subperiosteally along the roof of the orbit. The lesion was excised and histopathology and immunohistochemical staining confirmed a diagnosis of Langerhans histiocytosis. Management of this condition depends on the extent of systemic involvement, with single bony lesions usually pursuing a benign course and often spontaneously regressing or resolving following biopsy. This case serves to highlight that an underlying cause for preseptal cellulitis should be sought and if there are relapses or inadequately resolving signs of preseptal cellulitis, then prompt investigation to rule out other causes is required.

PMID: 19343973 [PubMed - indexed for MEDLINE]