Streptococcal toxic shock syndrome revealed by a peritonitis. Case report and review of the literature.

Détails

ID Serval
serval:BIB_7417F1ED311D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Streptococcal toxic shock syndrome revealed by a peritonitis. Case report and review of the literature.
Périodique
Swiss Surgery
Auteur(s)
Vuilleumier H., Halkic N.
ISSN
0007-1323
ISSN-L
1023-9332
Statut éditorial
Publié
Date de publication
2001
Volume
7
Numéro
1
Pages
25-27
Langue
anglais
Notes
DA - 20010307 LA - eng PT - Case Reports PT - Journal Article PT - Review RN - 0 (Anti-Bacterial Agents) SB - IM
Résumé
Group A streptococcus (GAS) or Streptococcus pyogenes cause a variety of life-threatening infectious complications including necrotizing fasciitis, purpura fulminans and streptococcal toxic shock syndrome (STSS). Exotoxins that act as superantigens are felt to be responsible for STSS. These exotoxins are highly destructive to skin, muscle and soft tissue. This syndrome has a rapid and fulminant course with frequently fatal outcome. GAS remains sensitive to penicillin but in serious infection a combination of clindamycin and ceftriaxone or meropenemum is recommended. Several studies have shown that mortality was dramatically reduced in STSS patients treated with immunoglobulin G given intravenously (IVIG). Early recognition of this most rapidly progressive infection and prompt operative debridement are required for successful management. This report presents a female patient at two month post-partum with a peritonitis and multi-organ failure.
Mots-clé
Adult, Anti-Bacterial Agents, Debridement, Drug Therapy, Combination/therapeutic use, Female, Humans, Peritonitis/diagnosis, Peritonitis/mortality, Shock, Septic/diagnosis, Shock, Septic/mortality, Streptococcal Infections/diagnosis, Streptococcal Infections/mortality, Streptococcus pyogenes, Survival Rate
Pubmed
Création de la notice
18/02/2008 14:08
Dernière modification de la notice
03/03/2018 18:20
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