TY - JOUR
T1 - Retiform purpura as a sign of necrotizing cellulitis in an immunocompetent boy
AU - Aboul-Fettouh, Nader
AU - Nguyen, Khang D.
AU - Dominguez, Arturo R.
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Severe group A streptococcus (GAS) infections, particularly necrotizing soft tissue infections (NSTIs), have been associated with the development of streptococcal toxic-shock syndrome (STSS), a systemic illness caused by GAS-derived toxins. Traditional physical examination findings in NSTIs include skin necrosis, crepitus, and hemorrhagic bullae. However, these findings are limited in sensitivity and additional clinical markers may aid in making an early diagnosis of NSTI. We present a case of a superficial infection, specifically GAS necrotizing cellulitis, complicated by STSS in a healthy boy with an associated skin finding of retiform purpura that aided in early diagnosis of a NSTI.
AB - Severe group A streptococcus (GAS) infections, particularly necrotizing soft tissue infections (NSTIs), have been associated with the development of streptococcal toxic-shock syndrome (STSS), a systemic illness caused by GAS-derived toxins. Traditional physical examination findings in NSTIs include skin necrosis, crepitus, and hemorrhagic bullae. However, these findings are limited in sensitivity and additional clinical markers may aid in making an early diagnosis of NSTI. We present a case of a superficial infection, specifically GAS necrotizing cellulitis, complicated by STSS in a healthy boy with an associated skin finding of retiform purpura that aided in early diagnosis of a NSTI.
KW - necrotizing soft tissue infection
KW - retiform purpura
KW - streptococcal toxic shock
UR - http://www.scopus.com/inward/record.url?scp=85094983771&partnerID=8YFLogxK
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U2 - 10.1097/PEC.0000000000002251
DO - 10.1097/PEC.0000000000002251
M3 - Article
C2 - 32970024
AN - SCOPUS:85094983771
SN - 0749-5161
VL - 36
SP - e646-e648
JO - Pediatric emergency care
JF - Pediatric emergency care
IS - 11
ER -