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  Vol. 145 No. 1, January 2009 TABLE OF CONTENTS
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VIGNETTES
Necrotizing Soft-Tissue Infection Caused by Both Candida glabrata and Streptococcus agalactiae

Masahisa Shindo, MD; Yuichi Yoshida, MD; Koji Adachi, MD; Keiko Nakashima, MD; Tessin Watanabe, MD; Osamu Yamamoto, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Report of a Case

A 43-year-old Japanese woman was referred to our hospital for a 3-week history of swelling on the right buttock. Physical examination revealed swelling and erythema with tenderness on the buttocks and a small ulcer on her right perineum (Figure 1). She had a slight fever (temperature, 37.5°C). Results of laboratory tests were as follows: leukocyte count, 19 200/µL; creatine phosphokinase, 49 IU/L; serum glucose, 482 mg/dL; hemoglobin A1c, 15.2%; and C-reactive protein, 203.0 mg/L. (To convert leukocyte count to number of cells x 109/L, multiply by 0.001; to convert serum glucose to millimoles per liter, multiply by 0.0555; to convert hemoglobin to proportion of total hemoglobin, multiply by 0.01; to convert C-reactive protein to nanomoles per liter, multiply by 9.524.) She was not aware of having severe diabetes mellitus. . . . [Full Text of this Article]


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