救命しえた劇症型Ａ群溶連菌感染症の小児の１症例

DOI 被引用文献1件 参考文献5件

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  • A pediatric case of toxic shock like syndrome

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A 5-year-old male was admitted to our hospital complaining of abdominal pain. He became hypotensive and lost his consciousness after admission. Cardiopulmonary arrest occurred when endtracheal intubation was attempted, but immediate cardiopulmonary resuscitation restored spontaneous circulation. Three hours after resuscitation, the vital signs were stable and laparotomy was performed. No apparent abnormality was observed. After the operation, profound hypotension associated with loss of consciousness and disseminated intravascular coagulation necessitated the intensive therapy with catecholamine infusion and mechanical ventilation. While continuing intensive therapy, group A streptococcal organisms had been isolated from the blood sample taken at admission. Ampicilline 1 g was administered intravenously every 12 hour. The general condition gradually improved over the next 2 days and the patient regained consciousness. The patient was discharged without any clinical sequellae following a 12week hospitalization.

収録刊行物

  • 蘇生

    蘇生 20 (2), 173-175, 2001

    日本蘇生学会

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