Severe Relapsing Erysipelas Associated with ChronicStreptococcus agalactiaeVaginal Colonization | Zendy

P. Del Giudice | Zendy; Nathalie van der Mee-Marquet | Zendy; F. DavidRubin | Zendy; F. Le Duff | Zendy; K. Benchia | Zendy; E. Counillon | Zendy; Anne-Sophie Domelier | Zendy; Roland Quentin | Zendy

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Severe Relapsing Erysipelas Associated with ChronicStreptococcus agalactiaeVaginal Colonization

Author(s) -

P. Del Giudice,

Nathalie van der Mee-Marquet,

F. DavidRubin,

F. Le Duff,

K. Benchia,

E. Counillon,

Anne-Sophie Domelier,

Roland Quentin

Publication year - 2006

Publication title -

clinical infectious diseases

Language(s) - Uncategorized

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/507545

Subject(s) - streptococcus agalactiae , erysipelas , vagina , medicine , microbiology and biotechnology , penicillin , colonization , carriage , persistence (discontinuity) , streptococcus , antibiotics , biology , dermatology , surgery , bacteria , pathology , genetics , geotechnical engineering , engineering

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.

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