A Fatal Case of Streptococcal Toxic Shock-Like Syndrome Probably Caused by Acupuncture

DOI PubMed 5 Citations 13 References
  • ONIZUKA Tomoko
    Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
  • OISHI Kazunori
    Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
  • IKEDA Tooru
    Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
  • WATANABE Kiwao
    Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University
  • SENBA Masachika
    Department of Pathology, The Institute of Tropical Medicine, Nagasaki University
  • SUGA Kazuo
    Shyojinkai Nishiisahaya Hospital
  • NAGATAKE Tsuyoshi
    Department of Internal Medicine, The Institute of Tropical Medicine, Nagasaki University

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Other Title
  • 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

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Abstract

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.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 72 (7), 776-780, 1998

    The Japanese Association for Infectious Diseases

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