Hemodialysis Patient with Streptococcal Toxic Shock Syndrome and Penile Necrosis
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- Nakai Kunihiro
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Mihara Yu
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Kado Hiroshi
- Department of Nephrology, Omihachiman Community Medical Center, Japan
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- Hosokawa Yohei
- Department of Pathology, Omihachiman Community Medical Center, Japan
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- Hatta Tsuguru
- Department of Nephrology, Omihachiman Community Medical Center, Japan
書誌事項
- 公開日
- 2023-01-01
- 資源種別
- journal article
- DOI
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- 10.2169/internalmedicine.9467-22
- 公開者
- 一般社団法人 日本内科学会
この論文をさがす
説明
<p>A 72-year-old man on hemodialysis due to diabetic nephropathy presented with a fever and penile pain. Although his physical examination was unremarkable, his general condition deteriorated. Penile necrosis was observed by evening on the same day of presentation, and the patient died the next morning. Blood cultures revealed the presence of Group G Streptococcus, leading to a diagnosis of streptococcal toxic shock syndrome (STSS). Autopsy suggested penile necrosis due to septic shock. STSS in hemodialysis patients with vascular calcification, even in the absence of calciphylaxis, can lead to severe organ damage due to ischemia. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 62 (1), 135-138, 2023-01-01
一般社団法人 日本内科学会
