A Case of Group A Streptococcal Toxic Shock Syndrome Caused Necrotizing Fasciitis Resulting in Limb Preservation
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- INADA Maiko
- Department of Plastic and Reconstructive Surgery, Wakayama Medical University Hospital Department of Plastic and Reconstructive Surgery, Kishiwada Tokushukai Hospital
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- SAKATA Yasuhiro
- Department of Plastic and Reconstructive Surgery, Kishiwada Tokushukai Hospital
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- 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
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- 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
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- Journal of Japan Society of Plastic and Reconstructive Surgery
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Journal of Japan Society of Plastic and Reconstructive Surgery 44 (2), 75-80, 2024-02-20
Japan Society of Plastic and Reconstructive Surgery
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Keywords
Details 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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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed