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  • Title: [Severe soft tissue infection with bulla formation, sepsis, multiple organ failure].
    Author: Bramer R, Fronhoffs S, Steuer K, Walger P, Vetter H.
    Journal: Praxis (Bern 1994); 1997 Oct 08; 86(41):1608-13. PubMed ID: 9417582.
    Abstract:
    A 53-year old patient with diabetes mellitus presented with a painful swelling of the left thigh in an out-of-town hospital. Because of the slow progression associated with multiorgan dysfunction, a soft-tissue infection with sepsis was suspected. Strains of streptococcus of serogroup B were isolated from specimens, taken from certain areas of the affected skin. After transferring the patient to our hospital the diagnosis of a B-streptococcal associated necrotizing fasciitis was confirmed. Despite intensive medical treatment and several surgical interventions the patient deceased due to an acute severe liver failure as a consequence of a secondarily developed septic shock. In comparison to the well-known cases caused by streptococcus group A, the B-streptococcal associated necrotizing fasciitis is a rather rare occurring disease.
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