全甲状腺切除术后的链球菌中毒性休克综合征
Streptococcal toxic shock syndrome following total thyroidectomy.
作者信息
Hung J A Z, Rajeev P
机构信息
NHS Isle of Wight, UK.
出版信息
Ann R Coll Surg Engl. 2013 Oct;95(7):457-60. doi: 10.1308/003588413X13629960048118.
Abstract
Group A streptococcal toxic shock syndrome following clean surgery is a rare occurrence. Its incidence following thyroid surgery has not been described in the literature. We report on the presentation and management of severe streptococcal toxic shock syndrome following a total thyroidectomy for a multinodular goitre in a patient with Cowden syndrome. This report presents an overview of streptococcal toxic shock syndrome with a focus on the management issues to consider so as to improve patient outcome. All surgeons must maintain a high index of suspicion for this rare but dangerous entity.
摘要
清洁手术后发生A组链球菌中毒性休克综合征较为罕见。甲状腺手术后该综合征的发生率在文献中尚无描述。我们报告了1例患有考登综合征的患者在因多结节性甲状腺肿行全甲状腺切除术后发生严重链球菌中毒性休克综合征的病例及处理情况。本报告概述了链球菌中毒性休克综合征，重点关注为改善患者预后需考虑的处理问题。所有外科医生必须对这种罕见但危险的病症保持高度警惕。
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