A case of necrotizing fasciitis due to Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a dog-bitten patient with diabetes

Korean J Lab Med. 2008 Jun;28(3):191-5. doi: 10.3343/kjlm.2008.28.3.191.

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.

Publication types

  • Case Reports

MeSH terms

  • 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

Substances

  • Anti-Bacterial Agents
  • Clindamycin
  • Penicillin G