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RECURRENT STREPTOCOCCAL CELLULITIS COMPLICATING RADICAL HYSTERECTOMY AND RADIATION THERAPY

From the Department of Medicine, Infectious Diseases Section, Saint Barnabas Medical Center, Livingston, New Jersey; and Department of Preventive Medicine and Community Health, UMDNJ—New Jersey Medical College, Newark, New Jersey.

Abstract

Reported is a rare complication of radical hysterectomy and radiation therapy, recurrent streptococcal cellulitis. Two patients had 14 episodes over a nine-year period, characterized by high fever and systemic toxicity. The streptococcal cellulitis was atypical in its presentation and its causative organism. The rash was bilateral in patches, flat, irregular in outline, and without induration. The causative microorganisms, a group B and G streptococcus, were isolated from blood and skin cultures. Therapy in such patients may have to be prolonged because of the alterations in normal anatomy resulting from surgery and radiation.

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