書誌事項
- タイトル別名
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- Early Diagnosis of Toxic Shock like Syndrome by Magnetic Resonance Imaging and Histopathology
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説明
A 33-year-old man was admitted to our emergency room with tachycardia and hypotension. Diffuse swelling, extensive blistering were noted in the body region extending from the left thigh to the left scrotum. Laboratory data revealed severe metabolic acidosis with an elevated anion gap and high lactate level, leukocytosis and renal dysfunction. Bacteriological examination of the exudate obtained from the blisters revealed numerous Gram-positive cocci. Although computed tomography revealed only swelling of the left thigh and scrotum, MRI, which was performed when the patient was clinically stable at the previous hospital, clearly suggested extensive myofascitis of the left thigh. An emergency debridement of the infected wounds was carried out, and intraoperative histopathological diagnosis guided the area of debridment. The resected tissues from the left thigh and scrotum revealed widespread necrosis and large numbers of Gram-positive cocci, which were identified as Group A β-hemolytic streptococci. In this case report, we show that MRI and intraoperative histopathological examination are more effective than computed tomography for the early diagnosis of TSLS.
収録刊行物
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- 日本救急医学会雑誌
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日本救急医学会雑誌 15 (10), 563-568, 2004
一般社団法人 日本救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204370265984
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- NII論文ID
- 130003625947
- 10014257818
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- NII書誌ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
- OpenAIRE
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- 抄録ライセンスフラグ
- 使用不可