雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Toxic Shock-like Syndrome without Necrotizing Fasciitis. Case Report Misa Nakanishi 1 , Kazunori Yokota 1 , Syouji Shimose 1 , Mituo Ochi 1 , Hiroshi Sakai 2 , Naoko Deguchi 2 , Koichi Tanigawa 2 , Yasuaki Nitta 3 1Department of Orthopaedic Surgery, Hiroshima University of Medicine 2Division of Intensive Care Medicine, Hiroshima University Hospital 3Department of Orthopaedic Surgery, Saiseikai Hiroshima Hospital Keyword: toxic shock-like syndrome , 劇症型A群連鎖球菌感染症 , necrotizing fasciitis , 壊死性筋膜炎 , group A streptococcus , A群連鎖球菌 pp.77-81
Published Date 2006/1/1
DOI https://doi.org/10.11477/mf.1408100015
  • Abstract
  • Look Inside
  • Reference

 Toxic shock-like syndrome (TSLS) is characterized by rapid progression in symptoms resulting in shock even in patients with no underlying illness. Mortality is very high without prompt treatment. We report a case of TSLS successfully treated using immediate fasciotomy. The patient, who had a fever and a precursory “flu-like” illness, went into preshock the next day, ending up in a hospital ICU. We suspected necrotizing myositis and conducted emergency surgery including fasciotomy and debridement. During surgery, we found no evidence of necrotizing myositis in the soft tissues, but isolated group A streptococcal infection by affusion culture during surgery. The patient progressed steadily postoperatively, with muscle inflammation and blood pressure improving dramatically. On hospital day 17, she was transferred to her original hospital. TSLS is often accompanied by necrotizing myositis requiring swift surgical treatment. While our case had no necrotizing myositis, we consider the surgical approach very valuable. For this reason, we conducted decompression during surgery, confirming the focus and extracting effusion. These techniques helped prevent the development of necrotizing myositis and enable us to choose the most appropriate antibiotic. Given rapid symptom progression and the high mortality involved, it is important to consider emergency surgery when general conditions worsen in the presence of suppurative inflammation of the soft tissues.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

関連文献

もっと見る

文献を共有