{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:10:27Z","timestamp":1761844227095,"version":"3.40.4"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A woman in her 60s with type 2 diabetes presented with a 4-week history of a rash on her chest wall, flu-like symptoms and a red right eye. On examination, there was a cellulitic rash over the right chest wall, breast and neck and a hypopyon in the right eye. Chest x-ray demonstrated right upper lobe opacification, with subsequent CT and MRI revealing bilateral collections at the lung apices, and a possible permeative bone destruction of the manubrium, respectively. A diagnosis of primary sternal osteomyelitis with associated lung abscesses, chest wall cellulitis and hypopyon due to endogenous endophthalmitis was made, with microbiological assessment identifying group B \u03b2-haemolytic streptococci. The patient underwent surgical debridement of the affected tissue and received 6\u2005weeks of intravenous antibiotics. This case highlights the role of multidisciplinary team involvement in management of infections and the need to consider deep-seated infection in diabetics.<\/jats:p>","DOI":"10.1136\/bcr-2012-007062","type":"journal-article","created":{"date-parts":[[2012,10,30]],"date-time":"2012-10-30T17:00:22Z","timestamp":1351616422000},"page":"bcr2012007062","source":"Crossref","is-referenced-by-count":6,"title":["A \u2018\u2018not so superficial\u201d skin infection in a patient with diabetes"],"prefix":"10.1136","volume":"2012","author":[{"given":"James Michael","family":"Carr","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Hagan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Guest","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Gompertz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,10,30]]},"reference":[{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.1","DOI":"10.1136\/aim.19.2.84"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.2","DOI":"10.1016\/S0039-6257(03)00054-7"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.3","DOI":"10.1093\/jac\/dkg466"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.4","DOI":"10.1001\/jama.1991.03470080082034"},{"key":"2025042707273036000_2012.oct30_1.bcr2012007062.5","first-page":"558","article-title":"Group B streptococcal soft tissue infections beyond the neonatal period","volume":"147","author":"McCarty","year":"1987","journal-title":"West J Med"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.6","DOI":"10.7326\/0003-4819-123-6-199509150-00003"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.7","DOI":"10.1086\/599369"},{"doi-asserted-by":"publisher","key":"2025042707273036000_2012.oct30_1.bcr2012007062.8","DOI":"10.1086\/322696"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:27:40Z","timestamp":1745764060000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,30]]},"references-count":8,"alternative-id":["10.1136\/bcr-2012-007062"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007062","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,10,30]]}}}