中心静脈ポート感染症により黄色ブドウ球菌性熱傷様皮膚症候群 (staphylococcal scalded skin syndrome:SSSS)を 発症した成人の 1 例
書誌事項
- タイトル別名
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- Staphylococcal Scalded Skin Syndrome Associated with Long Term Catherter Related Infection in an Adult
- 症例 中心静脈ポート感染症により黄色ブドウ球菌性熱傷様皮膚症候群(staphylococcal scalded skin syndrome:SSSS)を発症した成人の1例
- ショウレイ チュウシン ジョウミャク ポート カンセンショウ ニ ヨリ オウショクブドウキュウキンセイ ネッショウ ヨウ ヒフ ショウコウグン(staphylococcal scalded skin syndrome:SSSS)オ ハッショウ シタ セイジン ノ 1レイ
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Staphylococcal scalded skin syndrome (SSSS) is an extensive desquamative erythmatous condition caused by the Staphylococcus aureus exfoliative toxin. Although adult cases of SSSS are rare, the mortality rate is high. We report herein on a case of SSSS due to long-term catheter-related bloodstream infection caused by exfoliative toxin B, which produced methicillin-resistant Staphylococcus aureus. A 64-year-old man was admitted to our hospital with a high fever and generalized exfoliative dermatitis. He had an implanted port vascular access device in his left arm. The port was removed because it was thought to be the focus of infection. A Gram stain of the pus from the incision site revealed Gram positive coccus in clusters, and we administered intravenous vancomycin. MRSA was isolated from blood cultures and the pus, and histiology of a skin biopsy specimen from the exfoliation dermatitis showed epidermal detachment in the uppermost layer, which was consistent with SSSS. Although the patient developed infective endocarditis and septic embolisms, he eventually recovered. PCR of the MRSA was positive for exfoliative toxin B, and we finally diagnosed an adult case of SSSS due to exfoliative toxin B producing MRSA.
収録刊行物
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- 感染症学雑誌
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感染症学雑誌 87 (3), 380-384, 2013
一般社団法人 日本感染症学会
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詳細情報 詳細情報について
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- CRID
- 1390001205051051904
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- NII論文ID
- 10031189394
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- NII書誌ID
- AN00047715
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- ISSN
- 1884569X
- 03875911
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- NDL書誌ID
- 024758047
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
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- 使用不可