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伴有坏死性筋膜炎的链球菌中毒性休克综合征导致下肢截肢——病例报告

Streptococcal toxic shock syndrome with associated necrotising fasciitis necessitating amputation of the lower extremity - A case report.

作者信息

Strecker Thomas, Treutlein Christoph, Agaimy Abbas, Wehrfritz Andreas

机构信息

Centre of Cardiac Surgery, Friedrich-Alexander-University Erlangen-Nuremberg, Germany.

Department of Anaesthesiology, Friedrich-Alexander-University Erlangen-Nuremberg, Germany.

出版信息

SAGE Open Med Case Rep. 2023 Oct 16;11:2050313X231207202. doi: 10.1177/2050313X231207202. eCollection 2023.

DOI:10.1177/2050313X231207202
PMID:37860283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10583506/
Abstract

Streptococcal toxic shock syndrome is a severe, invasive and life-threatening infection associated with a high risk of rapid multiorgan failure. It is associated with high morbidity and mortality. Streptococcal toxic shock syndrome is very commonly caused by group A-, ß-haemolytic streptococcus, a typical human-specific gram-positive bacterial pathogen. We present here the case report of a 54-year-old man with a rapidly progressive streptococcal toxic shock syndrome due to necrotising fasciitis of the left lower limb and describe the successful treatment through close interdisciplinary care.

摘要

链球菌中毒性休克综合征是一种严重的、侵袭性的且危及生命的感染，伴有快速多器官功能衰竭的高风险。它与高发病率和死亡率相关。链球菌中毒性休克综合征非常常见于A组β溶血性链球菌感染，这是一种典型的人类特异性革兰氏阳性细菌病原体。我们在此报告一例54岁男性因左下肢坏死性筋膜炎导致快速进展的链球菌中毒性休克综合征的病例，并描述通过密切的多学科护理成功治疗的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/1dc7407d6f7c/10.1177_2050313X231207202-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/acb68d60391e/10.1177_2050313X231207202-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/2ecd430598cc/10.1177_2050313X231207202-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/bf5900ce6dbb/10.1177_2050313X231207202-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/1dc7407d6f7c/10.1177_2050313X231207202-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/acb68d60391e/10.1177_2050313X231207202-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/2ecd430598cc/10.1177_2050313X231207202-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/bf5900ce6dbb/10.1177_2050313X231207202-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f783/10583506/1dc7407d6f7c/10.1177_2050313X231207202-fig4.jpg

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Ital J Pediatr. 2023 Jul 19;49(1):88. doi: 10.1186/s13052-023-01494-9.
2
Acute kidney injury in pediatric toxic shock syndrome is associated with worse clinical course in the intensive care unit.儿科中毒性休克综合征中的急性肾损伤与重症监护病房中更差的临床病程相关。
Eur J Pediatr. 2023 Sep;182(9):4253-4261. doi: 10.1007/s00431-023-05109-7. Epub 2023 Jul 17.
3
Incidence and clinical and microbiological features of invasive and probable invasive streptococcal group A infections in children and adults in the Brussels-Capital Region, 2005-2020.
2005-2020 年布鲁塞尔首都大区儿童和成人侵袭性和可能侵袭性 A 组链球菌感染的发病率及临床和微生物学特征。
Eur J Clin Microbiol Infect Dis. 2023 May;42(5):555-567. doi: 10.1007/s10096-023-04568-y. Epub 2023 Mar 7.
4
EARLY INITIATION OF RENAL REPLACEMENT THERAPY IN INTENSIVE CARE UNIT PATIENTS WITH BOTH ACUTE RESPIRATORY DISTRESS SYNDROME AND SEPSIS WITH OR WITHOUT RENAL FAILURE: A RETROSPECTIVE COHORT STUDY BASED ON PROPENSITY SCORE MATCHING.重症监护病房中患有急性呼吸窘迫综合征和脓毒症（伴或不伴肾衰竭）的患者早期开始肾脏替代治疗：一项基于倾向评分匹配的回顾性队列研究
Shock. 2023 Apr 1;59(4):569-575. doi: 10.1097/SHK.0000000000002090. Epub 2023 Feb 22.
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