We reviewed the clinical record of all @entity1 admitted to Saga Medical School Hospital during the most recent 10 years and found that 17 (0.03%) were diagnosed as having @entity39 . Bacteriological examination demonstrated that @entity5345 was the pathogen responsible in five @entity1 (29%). The disease caused by @entity5345 occurred in the warmer half of the year. All of the @entity1 had underlying chronic @entity409 , and three of them had previously consumed raw seafood. In these @entity1 , the predominant @entity272 were @entity4 and subcutaneous @entity548 , such as ecchymosis and @entity4125 , while superficial @entity39 was not recognized. Three @entity1 died of systemic complications. By contrast, all of the five @entity1 with @entity39 caused by @entity4195 had the disorder in winter, and only one of them had chronic @entity409 . In @entity272 , subcutaneous @entity548 was rare but @entity39 was seen often. Despite the high incidence of systemic complications, no @entity1 with streptococcal @entity39 died. These findings suggest that the clinical features of @entity39 caused by @entity5345 are different from those of @entity39 caused by classical pathogens, and that the two should be differentiated as early as possible to improve the prognosis.

@entity39 caused by XXXX differs from that caused by streptococcal infection.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotizing fasciitis', 'necrosis'] @entity4 :: ('MESH:D004487', 'Disease') :: ['oedema'] @entity409 :: ('MESH:D008107', 'Disease') :: ['liver dysfunction'] @entity5345 :: ('672', 'Species') :: ['Vibrio vulnificus', 'V. vulnificus'] @entity4195 :: ('1314', 'Species') :: ['Streptococcus pyogenes'] @entity4125 :: ('MESH:D011693', 'Disease') :: ['purpura'] @entity272 :: ('MESH:D012871', 'Disease') :: ['skin lesions']
@entity5345 :: (672,Species) :: ['Vibrio vulnificus']
