Rapidly progressive soft tissue infection due to Streptococcus pyogenes, small details count

Authors

  • Alejandro Corredor-Belmar Orthopedic Surgery and Traumatology, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain https://orcid.org/0000-0002-7515-0498
  • José Pablo Puertas-García-Sandoval Orthopedic Surgery and Traumatology, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain
  • Antonio Valcárcel-Díaz Orthopedic Surgery and Traumatology, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain
  • Juan Andr´és González-García Orthopedic Surgery and Traumatology, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain
  • José Antonio López-Martínez Plastic Surgery, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar (Murcia), Spain

DOI:

https://doi.org/10.32818/reccmi.a8n3a11

Keywords:

lymphangitis, necrosis, soft tissue infection, Streptococcus pyogenes

Abstract

A 24-year-old male patient came to the emergency department with pain and swelling in the third finger of the left hand after mechanical exertion and was discharged with symptomatic treatment. He returned 20 hours later with worsening symptoms, violaceous coloration of the finger, decreased mobility and erythematous plaques of lymphangitis on the forearm. An emergency surgical cleaning was performed and the patient was admitted for antibiotic treatment. After several days of treatment, progressive necrosis of the finger was observed and amputation of the finger was decided, cultures were positive for Streptococcus pyogenes.

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References

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Published

2023-12-31

How to Cite

1.
Corredor-Belmar A, Puertas-García-Sandoval JP, Valcárcel-Díaz A, González-García JA, López-Martínez JA. Rapidly progressive soft tissue infection due to Streptococcus pyogenes, small details count. Rev Esp Casos Clin Med Intern [Internet]. 2023 Dec. 31 [cited 2024 Nov. 23];8(3):142-4. Available from: https://www.reccmi.com/RECCMI/article/view/879