A 50-year-old @entity1 with a 15-year history of @entity6 was admitted to our hospital due to high fever and a @entity272 with severe @entity158 , @entity4 and a sensation of heat in the right thigh. Laboratory examination showed elevated C-reactive protein (CRP), @entity882 , @entity1985 and @entity8 . Her blood @entity413 level had been well controlled. @entity5967 was detected in both the @entity272 and blood culture, and pathological examination revealed neutrophil infiltration in the fascia and @entity121 . The @entity1 was diagnosed with @entity39 , @entity326 and disseminated @entity5642 . A combination therapy of antibiotics and surgical debridement resulted in the improvement of symptoms as supported by laboratory findings, and the @entity272 also showed improvement. Although group A @entity5967 is well known to be implicated in the pathogenesis of @entity39 , only @entity5967 , belonging to group B @entity5967 , was isolated from the tissue and blood cultures in this case. Although this organism is not virulent and rarely causes a @entity39 , both the superficial fascial layer and underlying muscle were affected in this case. There have been only a few reports of @entity39 due to @entity5967 in @entity1 with @entity6 . Although the blood @entity413 level was well controlled in our @entity1 , this disease might be caused by other factors, including diminished sense of touch and @entity158 , @entity854 and @entity7893 due to @entity1985 .

Successful treatment of XXXX associated with diabetic nephropathy.

@entity1 :: ('9606', 'Species') :: ['patient', 'woman', 'patients'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal dysfunction'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus', 'type 2 diabetes mellitus'] @entity882 :: ('MESH:D013921', 'Disease') :: ['thrombocytopenia'] @entity5967 :: ('1311', 'Species') :: ['Streptococcus agalactiae', 'streptococcus', 'S. agalactiae'] @entity4 :: ('MESH:D004487', 'Disease') :: ['swelling'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotizing fasciitis'] @entity326 :: ('MESH:D012772', 'Disease') :: ['septic shock'] @entity5642 :: ('MESH:D004211', 'Disease') :: ['intravascular coagulation'] @entity854 :: ('MESH:D018376', 'Disease') :: ['abnormality of microcirculation'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity272 :: ('MESH:D012871', 'Disease') :: ['skin lesion'] @entity1985 :: ('MESH:D009404', 'Disease') :: ['nephrotic syndrome'] @entity7893 :: ('MESH:D000361', 'Disease') :: ['hypogammaglobulinemia'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle layer'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity39 :: (MESH:D009336,Disease) :: ['necrotizing fasciitis']
