A Fatal Case of Streptococcal Toxic Shock Syndrome due to <i>Streptococcus dysgalactiae</i> subsp. <i>equisimilis</i> Possibly Caused by an Intramuscular Injection
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- Hagiya Hideharu
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Okita Shunji
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Kuroe Yasutoshi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Nojima Hiroyoshi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Otani Shinkichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Sugiyama Junichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Naito Hiromichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Kawanishi Susumu
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Hagioka Shingo
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Morimoto Naoki
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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抄録
An 88-year-old man died of streptococcal toxic shock syndrome due to a group G streptococcus infection that was possibly caused by an intramuscular injection given 30 hours earlier in his right deltoid muscle. The causative pathogen was later identified to be Streptococcus dysgalactiae subsp. equisimilis (stG485). Although providing intramuscular injections is an essential skill of health care workers that is performed daily worldwide, it may constitute a port of entry for pathogens via skin breaches that can cause life-threatening infections. All invasive procedures should be carefully performed, especially when immunologically compromised patients are involved.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (3), 397-402, 2013
一般社団法人 日本内科学会