Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review
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 r...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/5960898 |
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| author | Yuko Saito Susumu Ookawara Hisataka Uchima Takeshi Ishida Masafumi Kakei Hitoshi Sugawara |
| author_facet | Yuko Saito Susumu Ookawara Hisataka Uchima Takeshi Ishida Masafumi Kakei Hitoshi Sugawara |
| author_sort | Yuko Saito |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8e5af338ccae4124b68f4eacf54f4eec |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8e5af338ccae4124b68f4eacf54f4eec2025-08-20T02:09:22ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/59608985960898Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature ReviewYuko Saito0Susumu Ookawara1Hisataka Uchima2Takeshi Ishida3Masafumi Kakei4Hitoshi Sugawara5Division of General Medicine, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, JapanDivision of Nephrology, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, JapanDepartment of Pathology, Saitama Citizens Medical Center, 299-1 Shimane, Nishi-ku, Saitama-City, Saitama-ken 331-0054, JapanDepartment of Internal Medicine, Saitama Citizens Medical Center, 299-1 Shimane, Nishi-ku, Saitama-City, Saitama-ken 331-0054, JapanDepartment of Internal Medicine, Saitama Citizens Medical Center, 299-1 Shimane, Nishi-ku, Saitama-City, Saitama-ken 331-0054, JapanDivision of General Medicine, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-City, Saitama-ken 330-8503, JapanA 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.http://dx.doi.org/10.1155/2017/5960898 |
| spellingShingle | Yuko Saito Susumu Ookawara Hisataka Uchima Takeshi Ishida Masafumi Kakei Hitoshi Sugawara Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review Case Reports in Medicine |
| title | Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review |
| title_full | Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review |
| title_fullStr | Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review |
| title_full_unstemmed | Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review |
| title_short | Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review |
| title_sort | anaphylactoid purpura associated with streptococcal cellulitis a case report and literature review |
| url | http://dx.doi.org/10.1155/2017/5960898 |
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