A Case of Streptococcal Toxic Shock Syndrome with Myonecrosis due to Group A beta-hemolytic Streptococcus
Journal of the Korean Society of Emergency Medicine
;
: 417-419, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-149582
ABSTRACT
Streptococcal toxic shock syndrome with myonecrosis is a rapidly progressive process that kills 80% of patients in 72-96 h. Various bullae, hypotension, fever, and evidence of organ failure are late clinical manifestations. The symptoms and signs of myonecrosis can be nonspecific and misleading, not clearly revealing the involvement of deep skeletal muscle. Thus, the challenge to clinicians is to make an early diagnosis and to intervene with aggressive fluid replacement, emergent surgical debridement, and general supportive measures. We describe an presentation of myonecrosis of the lower extremities secondary to group A beta-hemolytic streptococcus infection in a 21-years-old woman. In addition, the patient had no history or evidence of trauma to the affected area.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Choque Séptico
/
Infecções Estreptocócicas
/
Streptococcus
/
Músculo Esquelético
/
Extremidade Inferior
/
Desbridamento
/
Diagnóstico Precoce
/
Febre
/
Hipotensão
Tipo de estudo:
Estudo diagnóstico
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2004
Tipo de documento:
Artigo
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