Korean J Lab Med.  2008 Jun;28(3):191-195. 10.3343/kjlm.2008.28.3.191.

A Case of Necrotizing Fasciitis Due to Streptococcus agalactiae, Arcanobacterium haemolyticum, and Finegoldia magna in a Dog-bitten Patient with Diabetes

• Lee S
• Roh KH
• Kim CK
• Yong D
• Choi JY
• Lee JW
• Lee K
• Chong Y

• KMID: 854865
• DOI: http://doi.org/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.

Keyword

Necrotizing fasciitis; Streptococcus agalactiae; Arcanobacterium haemolyticum; Finegoldia magna; Diabetic patient

MeSH Terms

Actinomycetales Infections/diagnosis/microbiology
Adult
Animals
Anti-Bacterial Agents/therapeutic use
Arcanobacterium
Bites and Stings/*complications
Clindamycin/therapeutic use
Diabetes Mellitus/diagnosis/therapy
*Dogs
Fasciitis, Necrotizing/diagnosis/drug therapy/*microbiology
Female
Gram-Positive Bacterial Infections/diagnosis/microbiology
Humans
Penicillin G/therapeutic use
Peptostreptococcus
Streptococcal Infections/diagnosis/microbiology
Streptococcus agalactiae

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