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July 1980

Recurrent Erysipelas Caused by Group B Streptococcus Organisms

Author Affiliations

From the Departments of Dermatology (Drs Binnick and Baughman) and Maternal and Child Health (Dr Klein), Dartmouth-Hitchocock Medical Center, Hanover, NH. Dr Binnick is now in private practice.

Arch Dermatol. 1980;116(7):798-799. doi:10.1001/archderm.1980.01640310068023

• Group B β-hemolytic streptococcus (GBS) has emerged as a major cause of neonatal infections. Serious GBS infections in adults occur most frequently when predisposing illness is present. Recurrent erysipelas caused by GBS is reported in a woman who had chronic lymphedema after a radical hysterectomy and radiation therapy. Type III GBS was identified from cultures of vulvar vesicles, vaginal mucosa, and blood. Prophylactic penicillin V potassium therapy prevented further episodes of erysipelas. Group B β-hemolytic streptococcus should be considered a possible cause of erysipelas or cellulitis.

(Arch Dermatol 116:798-799, 1980)