American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2018, 6(12), 247-248
DOI: 10.12691/ajmcr-6-12-5
Open AccessCase Report

Pneumococcus a Rare Cause of Cellulitis

Muhammad U. Asghar1, , Krishna Kommineni2, Sanwal S. Mehta2 and Ravi Karan Patti2

1Pulmonary and Critical Care, Maimonides Medical Center, New York, USA

2Internal Medicine, Maimonides Medical Center, New York, USA

Pub. Date: December 28, 2018

Cite this paper:
Muhammad U. Asghar, Krishna Kommineni, Sanwal S. Mehta and Ravi Karan Patti. Pneumococcus a Rare Cause of Cellulitis. American Journal of Medical Case Reports. 2018; 6(12):247-248. doi: 10.12691/ajmcr-6-12-5

Abstract

Streptococcus Pneumoniae (S. pneumoniae) is a common cause of community-acquired pneumonia, although its manifestation as a skin infection is a rare phenomenon. Most skin infections are secondary to Staphylococcus aureus or Streptococcus pyogenes, however, cellulitis caused by pneumococci is an infrequent finding. Pneumococcal cellulitis most often occurs due to bacteremia in patients with chronic illnesses such as diabetes, underlying malignancies, immunosuppressed patients, and patients with the history of injection drug abuse. The nature of the infection can be very fatal leading to fasciitis, myonecrosis, septic shock and ultimately death. We present a case of a 61-year-old female who developed painful swelling and redness of the right face along with bilateral leg involvement. In the emergency room, physical examination revealed multiple cervical lymphadenopathies. Further diagnostic investigations disclosed Low-grade B-cell non-Hodgkin lymphoma upon cervical lymph node biopsy. Blood culture grew Streptococcus pneumoniae as a source of cellulitis. This case demonstrates the importance of immune defects and the ensuing development of pneumococcal-induced cellulitis. Physicians should be vigilant while treating Pneumococcal cellulitis as this may be a sign of the serious underlying medical condition.

Keywords:
Streptococcus pneumonia cellulitis

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