Anaphylactoid Purpura Associated with Streptococcal Cellulitis: A Case Report and Literature Review

Table 1

Case reports of cellulitis-associated anaphylactoid purpura.

Age	Sex	Location of cellulitis	AP occurrence from cellulitis (days)	Antibiotics for cellulitis treatment	Streptococcal detection by culture	ASO titer (IU/mL)	ASK (times)	Abdominal symptom	Treatment for AP	Reference number
78	M	Right lower leg	6	FOM	Negative (C)	287	2560	(+)	No treatment	[10]
50	M	Left lower leg	7	CEZ	Positive (C)	1610	640	(−)	No treatment	[11]
41	M	Left lower leg	3	CEZ	Negative (C)	ND	ND	(−)	DDS	[11]
78	F	Both lower legs	14	CEZ→SBT/ABPC	ND	ND	ND	(−)	PSL	[12]
54	M	Left lower leg	9	TAZ/PIPC	Negative (B)	336	2560	(+)	PSL	Current case

AP: anaphylactoid purpura, FOM: fosfomycin, CEZ: cefazolin, SBT/ABPC: sulbactam/ampicillin, TAZ/PIPC: tazobactam/piperacillin, (C): culture from exudative fluid of cellulitis, (B): blood culture, ND: no description, ASO: anti-streptolysin O antibody, ASK: anti-streptokinase antibody, DDS: diaminodiphenyl sulfone, and PSL: prednisolone.