Streptococcus dysgalactiae bacteremia secondary to left lower limb bullous cellulitis precipitated by gout: case report
DOI:
https://doi.org/10.47957/ijpda.v13i1.625Keywords:
Bullous cellulitis, Streptococcus dysgalactiae, DRESS syndrome, Gout flare, Ampicillin-SulbactamAbstract
A Chinese man of 55 years old was admitted to the hospital due to a fever and pain in his left lower limb manifesting as left metatarsal pain. His symptoms were accompanied by swelling, redness, tenderness, and the development of blisters. The patient had gout flare-up which contributed to the development of bullous cellulitis exacerbated by bacteremia. Report from blood culture revealed a positive aerobic culture of gram-positive cocci, Streptococcus dysgalactiae, sensitive to Penicillin and Ampicillin. The patient had a medical history of dyslipidemia, hypertension, and impaired glucose tolerance. His condition necessitated a multidisciplinary management and a replacement of antibiotic regimen despite receiving Ampicillin- Sulbactam (Unasyn) for initial treatment. This was due to the development of Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome induced by Ampicillin-Sulbactam, among other complications. This case report describes the patient's presentation, diagnosis, and course of treatment.
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