書誌事項
- タイトル別名
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- Case Report of Toxic Shock-Like Syndrome due to Group A Streptococcal Infection
- Case report of toxic shock-like syndrome due to group A streptococcal infection (in Japanese with English abstract)
この論文をさがす
抄録
A case of streptococcal toxic shock like syndrome occurring in a 44-year-old previousluy healthy Japanese male is reported. He initially had a sore thoat, low grade fever, diarrhea and mild pains in a lower extremities. Shortly thereafter, he rapidly developed a high fever, profound hypotension, multifocal epidermal necrosis, and sever purulent fascitis and myositis in both lower etremities, which required above knee amputation of both legs. He later developed disseminated intravascular coagulapathy, adult respiratory distress syndrome, acute renal failure, coma and necrotizing inflamation of both arms and external genitalia despite treatment. He died on the 13th hospital day. Streptococcus pyogenes was isolated from the necrotic muscles and right knee joint. The organism was typed as M3, T3, was sensitive to penicillins, and was found to be producting streptococcal pyogenic exotoxin A in vitro. This is the first case report of streptococcal toxic shock like syndrome in Japan.
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 67 (3), 236-239, 1993
一般社団法人 日本感染症学会
