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
書誌事項
- タイトル別名
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- A Case of Group A Streptococcal Toxic Shock Syndrome Caused Necrotizing Fasciitis Resulting in Limb Preservation
抄録
<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>
収録刊行物
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- 日本形成外科学会会誌
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日本形成外科学会会誌 44 (2), 75-80, 2024-02-20
一般社団法人 日本形成外科学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390580837583233792
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- ISSN
- 2758271X
- 03894703
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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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- 抄録ライセンスフラグ
- 使用不可