{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:31:16Z","timestamp":1785461476750,"version":"3.56.0"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T00:00:00Z","timestamp":1660262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001637","name":"University of Dublin Trinity College","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001637","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Streptococcus dysgalactiae<\/jats:italic>\n                      , also known as Group C\/G Streptococci, causes infection to humans and animals. Infectious syndromes range from mild pharyngitis and cellulitis, to bacteraemia and life-threatening sepsis. This report uniquely presents a case of\n                      <jats:italic toggle=\"yes\">Streptococcus dysgalactiae subspecies dysgalactiae<\/jats:italic>\n                      causing fulminant sepsis post-radical vulvectomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      Four months post modified radical vulvectomy with bilateral lymph node dissection, a 78-year-old woman presented with pyrexia and associated intercrural, upper thigh and suprapubic erythema. Aside from being a smoker, there was no documented history of immunosuppression. Blood cultures yielded growth of\n                      <jats:italic toggle=\"yes\">S. dysgalactiae<\/jats:italic>\n                      , and she improved with intravenous antibiotics, fluid resusitation and electrolyte replacement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Streptococcus dysgalactiae<\/jats:italic>\n                      is an important pathogen associated with bacteraemia, cellulitis, meningitis and pneumonia. Prompt and appropriate antibiotic therapy in addition to further investigations with potential surgical intervention are essential.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107519","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T01:30:41Z","timestamp":1660527041000},"page":"107519","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Cellulitis and bacteraemia caused by Streptococcus dysgalactiae post radical vulvectomy and bilateral inguinal lymph node dissection for FIGO IB squamous cell carcinoma of the vulva, a case report"],"prefix":"10.1097","volume":"98","author":[{"given":"R.","family":"Floyd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Gilheany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Houlihan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"D'Arcy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-44-20260309","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R3-44-20260309","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1007\/s10096-019-03667-z","article-title":"Incidence, clinical characteristics, and outcomes of streptococcus dysgalactiae subspecies equisimilis bacteremia in a tertiary hospital: comparison with S. agalactiae bacteremia","volume":"38","author":"Park","year":"2019","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis"},{"key":"R5-44-20260309","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.diagmicrobio.2016.01.011","article-title":"Recurrent bacteremia with streptococcus dysgalactiae: a case-control study","volume":"85","author":"Trell","year":"2016","journal-title":"Diagn. Microbiol. Infect. Dis"},{"key":"R6-44-20260309","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1086\/597035","article-title":"Population-based study of invasive disease due to beta-hemolytic streptococci of groups other than A and B","volume":"48","author":"Broyles","year":"2009","journal-title":"Clin. Infect. Dis"},{"key":"R7-44-20260309","doi-asserted-by":"crossref","first-page":"837","DOI":"10.3201\/eid1405.070130","article-title":"Bacteremia caused by group G streptococci, Taiwan","volume":"14","author":"Liao","year":"2008","journal-title":"Emerg. Infect. Dis"},{"key":"R8-44-20260309","doi-asserted-by":"crossref","first-page":"120","DOI":"10.5792\/ksrr.2012.24.2.120","article-title":"Streptococcus dysgalactiae subspecies dysgalactiae infection after total knee arthroplasty: a case report","volume":"24","author":"Park","year":"2012","journal-title":"Knee Surg. Relat. Res"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007659?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261222007659?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:10:43Z","timestamp":1773047443000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":6,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107519","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}