A Case of Group A Streptococcal Toxic Shock Syndrome Caused Necrotizing Fasciitis Resulting in Limb Preservation

DOI
  • INADA Maiko
    Department of Plastic and Reconstructive Surgery, Wakayama Medical University Hospital Department of Plastic and Reconstructive Surgery, Kishiwada Tokushukai Hospital
  • SAKATA Yasuhiro
    Department of Plastic and Reconstructive Surgery, Kishiwada Tokushukai Hospital
  • ASAMURA Shinichi
    Department of Plastic and Reconstructive Surgery, Wakayama Medical University Hospital Department of Plastic and Reconstructive Surgery, Kishiwada Tokushukai Hospital

Bibliographic Information

Other Title
  • 患肢を温存し得た劇症型Ａ群溶血性連鎖球菌感染症による壊死性筋膜炎の１例

Abstract

<p> An 80-year-old female patient presented to our hospital because of pain in her dorsal right foot that did not improve after treatment at a local hospital. The patient displayed increased inflammatory responses, hypotension, and organ damage. Fascial necrosis was observed on the dorsal right foot by test incision. Group A Streptococcus was detected in blood culture, and a diagnosis of necrotizing fasciitis due to streptococcal toxic shock syndrome was made. This disease has a high mortality rate and often requires amputation of the affected limb. The patient was successfully treated with negative pressure wound therapy and skin grafting. Amputation was avoided, and the patient regained the ability to walk. The patient had fewer than three risk factors for amputation, and the removal of the fascia to the normal extent was performed to achieve a high possibility of avoiding amputation.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390580837583233792
  • DOI
    10.57414/jjpnprs.44.2_75
  • ISSN
    2758271X
    03894703
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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