β溶血性Ｇ群レンサ球菌によるｔｏｘｉｃ　ｓｈｏｃｋ　ｌｉｋｅ　ｓｙｎｄｒｏｍｅ　　股関節離断術により救命しえた１症例

• 丹野 英

  自治医科大学集中治療部

• 大江 恭司

  総合病院国保旭中央病院集中治療部

• 清水 可方

  総合病院国保旭中央病院集中麻酔科

• 村田 克介

  自治医科大学集中治療部

• 窪田 達也

  自治医科大学集中治療部

• 鈴木 潤

  麻布大学環境保健学部健康科学教室

書誌事項

タイトル別名

• A case of acute group G streptococcal myositis associated with toxic shock like syndrome
• 股関節離断術により救命しえた1症例

抄録

Non-group A streptococcal infections usually occur in compromised hosts who are often in a life threatening condition, and have been associated with a toxic shock-like syndrome. We present a case of streptococcal toxic shock-like syndrome caused by group G Streptococcus in a patient with myelodysplastic syndrome. This patient, a 64-year-old male, suddenly went into septic shock as purulent myositis rapidly progressed involving his entire left thigh. S. equisimilis was detected from the infected muscle. After admission to the ICU, the patient was treated with the antibiotics (ampicillin/sulbactum, clindamycin) and immunoglobulins because of multiple organ dysfunction, which subsequently developed, but amputation of the left thigh was done. The patient completely recovered from multiple organ dysfunction and was discharged from the ICU on the sixth postoperative day. A pathologic examination of the specimen revealed purulent-necrotizing myositis of the entire left thigh. We realized that the progression of group G streptococcal infections may be as rapid and invasive as that of group A streptococci.

収録刊行物

• 日本集中治療医学会雑誌

  日本集中治療医学会雑誌 7 (2), 115-120, 2000

  一般社団法人 日本集中治療医学会

キーワード

• Group G <i>Streptococcus</i>
• toxic shock like syndrome
• purulent myositis

詳細情報

• CRID: 1390001204444003456
• NII論文ID: 10007079671
• NII書誌ID: AN10474053
• DOI: 10.3918/jsicm.7.115
• ISSN: 1882966X
• ISSN: 13407988
• Web Site: https://search.jamas.or.jp/link/ui/2000212410
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可