Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review. (16th August 2017)

• Record Type: Journal Article
• Authors: Saito, Yuko; Ookawara, Susumu; Uchima, Hisataka; Ishida, Takeshi; Kakei, Masafumi; Sugawara, Hitoshi
• Other Names: Butany Jagdish Academic Editor.
• Is Part Of: Case reports in medicine. Volume 2017(2017)
• Publication Date: 2017-08-16
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Case Reports; Periodicals; 610
• DOI: 10.1155/2017/5960898
• Languages: English
• ISSNs: 1687-9627

Abstract

Abstract : A 54-year-old Japanese man noticed painful swelling and redness of his left leg. He was admitted for treatment of cellulitis, which was accompanied with increased anti-streptolysin O and anti-streptokinase titers in his clinical course. After Piperacillin/Tazobactam administration, the skin lesion resolved. However, the patient then developed arthritis, palpable purpura, and intermittent abdominal pain, later found to be secondary to a severe duodenal ulcer. He was diagnosed with cellulitis-associated anaphylactoid purpura and was given prednisolone, which dramatically improved his symptoms. The anaphylactoid purpura was likely caused by Streptococcus -induced cellulitis, which was successfully treated with prednisolone. Association between these diseases is rare.