Erythema Nodosum Associated With Streptococcal Infection in Pregnancy

Autor: Kevin P. Huddleston, Jeffrey W. Jundt, M. B. Reedy, W. Edward Richards
Jazyk: angličtina
Rok vydání: 1995
Předmět:
Zdroj: Infectious Diseases in Obstetrics and Gynecology, Vol 3, Iss 4, Pp 166-168 (1995)
Infectious Diseases in Obstetrics and Gynecology
ISSN: 1098-0997
1064-7449
Popis: Background: Erythema nodosum (EN) is a condition characterized by the presence of painful erythematous nodules on the pretibial aspects of the lower extremities. EN is thought to be a local inflammatory, immune-mediated reaction to a number of systemic antigenic stimuli. This condition is noted most often in women between menarche and menopause and is associated with certain drugs, infections, and pregnancy. However, no reports in the literature describe EN as a result of streptococcal infection during pregnancy.Case: A 21-year-old, white woman, G3P0020, presented at 13 weeks gestation with a 2-week history of erythematous, tender lesions on the pretibial aspects of both legs consistent with EN. The patient reported having had a “flu-like” illness at the same time the lesions developed. The “flu” symptoms resolved within 10 days without medical intervention, but the lesions on her legs persisted. An initial antistreptolysin-O (ASO) titer was elevated at 960 Todd units (normal values: preschool and adults Conclusion: Although many etiologic factors are identified as causes of EN, the condition is usually self-limiting, requiring only minimal supportive measures until it resolves. A careful history should be obtained and a physical examination performed to exclude other causes. If a recent streptococcal infection is identified or presumed, a 10- to 14-day course of antibiotics is warranted.
Databáze: OpenAIRE
Externí odkaz: