書誌事項
- タイトル別名
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- A Case of Toxic Shock-like Syndrome Affecting the Neck
- ケイブ カンセン ソウ ヨリ ハッショウ シタ ゲキショウガタ Aグン ヨウレンキン カンセンショウ ノ 1レイ
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説明
Toxic shock-like syndrome (TSLS) is a form of rapidly progressing septic shock that can lead to multiple organ failure and has a high mortality rate of 30%. We report a rare case of TSLS affecting the head and neck. A 40-year-old man complained of redness and swelling of the neck with vomiting and diarrhea. His blood pressure dropped, and multiple organ failure occurred.<br>Streptcoccus pyogenes, Group A, was identified in a blood culture, and he was diagnosed as having TSLS. He was treated with high-dose carbapenem, clindamysin, and gamma globulin. Continuous hemodiafiltration (CHDF) and PMX-DHP was applied to prevent sepsis and multiple organ failure. Debridement of the neck was performed on day 16. He recovered gradually and was discharged from hospital on day 45. A total resection is required to treat TSLS, but such a procedure is difficult to perform in the head and neck region. Our case improved without resection but after debridement and general control.<br>TSLS should be first treated by medication and then by surgery, consisting of either debridement or resection.
収録刊行物
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- 日本耳鼻咽喉科学会会報
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日本耳鼻咽喉科学会会報 109 (9), 703-706, 2006
一般社団法人 日本耳鼻咽喉科頭頸部外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001205007158528
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- NII論文ID
- 10018399663
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- NII書誌ID
- AN00191551
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- ISSN
- 18830854
- 00306622
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- NDL書誌ID
- 8521037
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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
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
