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MR Vol.10 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.10 No.3 |
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Necrotizing fasciitis caused by Streptococcus
pneumoniae in mixed connective tissue disease |
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| Takamichi Yuhara1, Hiroyuki Takemura1, Takao
Akama1, Kazuhide Yamane1, Takayuki Sumida1 |
| (1)Division of Rheumatology, Department of
Internal Medicine, Institute of Clinical Medicine, University of
Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan |
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| Abstract |
| Abstract A 42-year-old man was hospitalized
because of chills, fever, and severe polyarthralgia. He had a 5-year
history of mixed connective tissue disease (MCTD) with polyarthritis
which had been treated with a nonsteroidal anti-inflammatory drug
alone. On the second day of hospitalization, necrotizing fasciitis
of the right leg developed. Streptococcus pneumoniae was later
detected in a blood culture. Pneumococcal infections of the soft
tissues are uncommon, and have been reported in immunosuppressed
patients and patients with systemic lupus erythematosus. This is
the first report of a case of necrotizing fasciitis caused by S.
pneumoniae in a patient with MCTD. |
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| Key words |
| Key words Necrotizing fasciitis ・ Streptococcus
pneu-moniae ・ Mixed connective tissue disease |
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