Numerous eruptive lesions of panniculitis associated with group A streptococcus bacteremia in an immunocompetent child.

Pao W, Duncan KO, Bolognia JL, Carroll CB, Hotez PJ, Bessen DE
Clin Infect Dis. 1998 27 (3): 430-3

PMID: 9770136 · DOI:10.1086/514685

A previously healthy 13-month-old boy developed group A beta-hemolytic streptococcus bacteremia coinciding with numerous eruptive subcutaneous lesions primarily on his extremities. Skin biopsy revealed infectious panniculitis; gram-positive cocci were present within both fat lobules and septa. Molecular genetic analysis of an isolate from the patient's blood revealed an emm type 4 organism displaying the emm chromosomal pattern E that is characteristic of opacity factor-producing strains; the organism also harbored the gene encoding for streptococcal pyrogenic exotoxin C (speC). To our knowledge, this clinical presentation has not yet been described in the spectrum of infections directly caused by group A beta-hemolytic streptococci.

MeSH Terms (9)

Bacteremia Humans Immunocompetence Infant Male Panniculitis Skin Diseases Streptococcal Infections Streptococcus pyogenes

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