針治療後に発症した激症型A群レンサ球菌感染症(Toxic shock-like syndrome)の1例 A Fatal Case of Streptococcal Toxic Shock-Like Syndrome Probably Caused by Acupuncture

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著者

    • 鬼塚 智子 ONIZUKA Tomoko
    • 長崎大学熱帯医学研究所感染症予防治療分野(熱研内科) Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
    • 大石 和徳 OISHI Kazunori
    • 長崎大学熱帯医学研究所感染症予防治療分野(熱研内科) Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
    • 池田 徹 IKEDA Tooru
    • 長崎大学熱帯医学研究所感染症予防治療分野(熱研内科) Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
    • 渡辺 貴和雄 WATANABE Kiwao
    • 長崎大学熱帯医学研究所感染症予防治療分野(熱研内科) Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
    • 千馬 正敬 SENBA Masachika
    • 長崎大学熱帯医学研究所病変発現機序分野 Department of Pathology, The Institute of Tropical Medicine, Nagasaki University
    • 永武 毅 NAGATAKE Tsuyoshi
    • 長崎大学熱帯医学研究所感染症予防治療分野(熱研内科) Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University

抄録

A 41-year-old male received acupuncture in the right shoulder for the sake of arthralgia. Three days after acupuncture he was admitted due to severe epigastralgia. Erythematous change and swelling were observed around the right shoulder. A study by magnetic resonance showed an increased signal intensity in a portion of the right subscapular muscle. Four hours after admission he became hypotensive. The erythematous and necrotic change in the right shoulder skin rapidly spread. Excisional debridement in the right lateral chest wall was immediately done. However, the patient died one day after admission despite administration of a high-dose ampicillin and other supportive therapies. Bacteriological and histological examinations confirmed severe streptococcal myositis. This is a case report of toxic shock-like syndrome probably caused by acupuncture.

収録刊行物

  • 感染症学雑誌 : 日本伝染病学会機関誌 : the journal of the Japanese Association for Infectious Diseases

    感染症学雑誌 : 日本伝染病学会機関誌 : the journal of the Japanese Association for Infectious Diseases 72(7), 776-780, 1998-07-20

    The Japanese Association for Infectious Diseases

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