Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review

Autor: Yuko Saito, Susumu Ookawara, Hisataka Uchima, Takeshi Ishida, Masafumi Kakei, Hitoshi Sugawara
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Case Reports in Medicine, Vol 2017 (2017)
Druh dokumentu: article
ISSN: 1687-9627
1687-9635
DOI: 10.1155/2017/5960898
Popis: A 54-year-old Japanese man noticed painful swelling and redness of his left leg. He was admitted for treatment of cellulitis, which was accompanied with increased anti-streptolysin O and anti-streptokinase titers in his clinical course. After Piperacillin/Tazobactam administration, the skin lesion resolved. However, the patient then developed arthritis, palpable purpura, and intermittent abdominal pain, later found to be secondary to a severe duodenal ulcer. He was diagnosed with cellulitis-associated anaphylactoid purpura and was given prednisolone, which dramatically improved his symptoms. The anaphylactoid purpura was likely caused by Streptococcus-induced cellulitis, which was successfully treated with prednisolone. Association between these diseases is rare.
Databáze: Directory of Open Access Journals