出産後にMRSAによるToxic shock syndromeを合併したSLEの1例

DOI PubMed 被引用文献2件 参考文献13件

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  • A SLE Case with Toxic Shock Syndrome after Delivery

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We experienced a SLE patient with TSS after delivery. A 32-year-old SLE patient was transferred to our division due to fever, diarrhea, erosive rash, pericardial effusion, myalgia, lowblood pressure, thorombocytopenia and hypoproteinemia which appeared two days after transvaginal delivery. At the time of admission, we considered these symptoms as the exacerbation of SLE, and treatment with high doses of steroid was started. It was when TSST-1-producing-MRSA was cultured from the vagina and uterus that TSS was suspected. 2 g/day of vancomycin was administered and her symptoms improved. As observed in this case, it is important to consider TSS as one of the complications seen with SLE patients after delivery.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 70 (12), 1279-1283, 1996

    一般社団法人 日本感染症学会

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