Surgical wound infection by Streptococcus pneumoniae after a cat-scratch disease

Int J Low Extrem Wounds. 2012 Dec;11(4):311-2. doi: 10.1177/1534734612463702.

Abstract

Streptococcus pneumoniae (pneumococcus) is mostly known as an agent of meningitis and pneumonia. We present what is believed to be a previously unreported case of pneumococcal disease, involving an inguinal wound. A 10-year-old male patient underwent surgical removal of a cat-scratch disease-related enlarged groin lymph node; infection of the wound was soon observed, with multidrug-resistant S pneumoniae growing from the lesion discharge. This communication expands the spectrum of skin ulcer-infecting pathogens; in fact, although pneumococcus has been known to mostly affect central nervous system and airways, we observed a surgical wound infection by this organism.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Bartonella henselae / drug effects
  • Bartonella henselae / isolation & purification*
  • Cat-Scratch Disease / diagnosis
  • Cat-Scratch Disease / surgery*
  • Cats
  • Child
  • Drug Resistance, Multiple, Bacterial
  • Follow-Up Studies
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Pneumococcal Infections / diagnosis
  • Pneumococcal Infections / drug therapy*
  • Risk Assessment
  • Severity of Illness Index
  • Streptococcus pneumoniae / drug effects
  • Streptococcus pneumoniae / isolation & purification*
  • Surgical Wound Infection / drug therapy*
  • Surgical Wound Infection / microbiology*
  • Surgical Wound Infection / physiopathology
  • Treatment Outcome
  • Wound Healing / physiology

Substances

  • Anti-Bacterial Agents