Successful management of necrotizing fasciitis due to Streptococcus pyogenes appropriately timed, repeatedly emergency operations

DOI
  • Yamamura Kyoichi
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Koyama Tomohide
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Sato Yuichi
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Sanmori Kaoru
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Matsuyoshi Takeo
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Suzuki Hiroaki
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Kosen Daiyu
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Kaneko Hitoshi
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center
  • Miyake Yasufumi
    Trauma and Resuscitation Center, Teikyo University Hospital
  • Shimizu Keiki
    Trauma and Resuscitation Center, Tokyo Metropolitan Tama Medical Center

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Other Title
  • 適切な外科的介入のタイミングにて救命できた人喰いバクテリアによる壊死性筋膜炎の1例

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Abstract

<p>A woman in her 30's visited our emergency room for her sudden right axillary pain. Examinations, including the computed tomography and a blood test, were unable to provide sufficient data for a diagnosis, and the patient was therefore hospitalized for follow-up. After four days of the hospitalization, the pain increased dramatically, and Streptococcus pyogenes was detected in a blood culture. Based on these findings, necrotizing fasciitis was diagnosed, and emergency debridement was performed. However, the area of pain and erythema spread subsequently, requiring emergency debridement to be done four times in total to save the patient.</p>

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