Wound erysipelas following appendectomy caused by group B beta-hemolytic @entity5967 ( XXXX ).

@entity1 @entity6081 @entity883 @entity698 @entity697 @entity2890 @entity868 @entity1219 @entity5967 @entity114 @entity115 @entity798 @entity281 @entity86 @entity9156 @entity526
BACKGROUND: Case description of a @entity1 who developed @entity6081 following appendectomy for @entity697 , and literature review of invasive group B @entity883 . METHODS: A 65-year-old @entity1 with @entity698 underwent urgent appendectomy and drainage. Antibiotic prophylaxis with @entity2890 (100 mg) and @entity868 (500 mg) was administered. At surgery, a phlegmon was identified with free perforation of the appendix and purulent peritoneal fluid. Appendectomy, irrigation with 0.9% @entity1219 solution, and drainage with a Silastic closed-suction drain was performed. A literature search in all languages was performed using MEDLINE, using the search terms @entity281 , wound @entity281 , group B @entity5967 , @entity5967 , necrotizing @entity9156 , and @entity86 . RESULTS: Erysipelas of the surgical wound developed on the fourth postoperative day. Intravenous @entity114 and @entity115 / @entity798 were administered empirically. Culture of the wound drainage identified @entity5967 and a few colonies of @entity526 . The broad-spectrum antibiotic was discontinued, and a 10-day course of @entity114 was completed. CONCLUSIONS: Erysipelas of the surgical wound is unusual, and @entity281 with group B streptococci is rare compared with @entity281 by group A streptococci. @entity5967 is recognized to be increasingly virulent, with an increasing predilection for @entity281 in healthy hosts. Although @entity5967 remains highly susceptible to antimicrobial agents effective against gram-positive cocci, the changing epidemiology and potentially invasive nature of these infections should have clinicians alert to the possibility of @entity281 caused by group B streptococci.
