Journal Article

Severe Relapsing Erysipelas Associated with Chronic <i>Streptococcus agalactiae</i> Vaginal Colonization

P. Del Giudice, N. van der Mee-Marquet, F. David-Rubin, F. Le Duff, K. Benchia, E. Counillon, A. S. Domelier and R. Quentin

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 43, issue 7, pages e67-e70
Published in print October 2006 | ISSN: 1058-4838
Published online October 2006 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/507545
Severe Relapsing Erysipelas Associated with Chronic Streptococcus agalactiae Vaginal Colonization

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We report a case of severe recurrent erysipelas of the breast due to infection with Streptococcus agalactiae and demonstrate that strains isolated from the skin were closely related to strains isolated from the vagina, which is consistent with the claim that the vagina acts as a reservoir for S. agalactiae isolates that are responsible for erysipelas relapse. Hypervirulence of strains and persistence of a bacterial reservoir may explain why 5 months of prophylaxis with penicillin V (1 million U daily) was necessary to achieve permanent eradication of vaginal carriage and to prevent recurrence of erysipelas caused by S. agalactiae infection.

Journal Article.  2289 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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