Leukocytoclastic Vasculitis after Pneumococcal pneumonia in an Elderly Adult

Shigeki Nakamura; Katsunori Yanagihara; Koichi Izumikawa; Masafumi Seki; Yoshitsugu Miyazaki; Yoichi Hirakata; Yoshifumi Soejima; Yohei Mizuta; Shigeru Kohno

doi:10.2169/internalmedicine.46.6295

CASE REPORTS

Leukocytoclastic Vasculitis after Pneumococcal pneumonia in an Elderly Adult

Shigeki Nakamura, Katsunori Yanagihara, Koichi Izumikawa, Masafumi Seki, Yoshitsugu Miyazaki, Yoichi Hirakata, Yoshifumi Soejima, Yohei Mizuta, Shigeru Kohno

Author information

Shigeki Nakamura
Department of Respiratory Medicine, National Hospital Organization Ureshino Medical Center
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Katsunori Yanagihara
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Department of Laboratory Medicine, Nagasaki University Graduate School of Medical Science
Koichi Izumikawa
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Masafumi Seki
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Yoshitsugu Miyazaki
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Yoichi Hirakata
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Yoshifumi Soejima
Department of Respiratory Medicine, National Hospital Organization Ureshino Medical Center
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Yohei Mizuta
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Shigeru Kohno
Second Department of Internal Medicine, Nagasaki University Graduate School of Medical Science
Division of Molecular & Clinical Microbiology, Department of Molecular Microbiology & Immunology, Nagasaki University Graduate School of Medical Science

Keywords: hypersensitivity vasculitis, Henoch-Schönlein purpura, pneumococcal pneumonia

JOURNAL OPEN ACCESS

2007 Volume 46 Issue 8 Pages 487-490

DOI https://doi.org/10.2169/internalmedicine.46.6295

Details

Abstract

Hypersensitivity vasculitis (HSV) has been used to describe several forms of vasculitis of small blood vessels, including Henoch-Schönlein purpura (HSP), mixed cryoglobulinemia, and allergic vasculitis, etc. HSP is a disease occasionally seen in childhood, and is characterized by dermatological and abdominal symptoms. Here, we report a rare case of HSV which showed a clinical course similar to HSP after pneumococcal pneumonia in an elderly adult. Generally, Streptococcus pneumoniae is the most common pathogen in adult community-acquired pneumonia. Therefore, it is critical to recognize HSV as one of the important complications after bacterial infection, especially Streptococcus pneumoniae.

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