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.
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410857593518927874","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Nakai Kunihiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, Omihachiman Community Medical Center, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410857593518927873","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Mihara Yu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, Omihachiman Community Medical Center, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410857593518927872","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kado Hiroshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, Omihachiman Community Medical Center, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410857593518927876","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Hosokawa Yohei"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Pathology, Omihachiman Community Medical Center, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410857593518927875","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Hatta Tsuguru"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Nephrology, Omihachiman Community Medical Center, Japan"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09182918"},{"@type":"EISSN","@value":"13497235"}],"prism:publicationName":[{"@language":"en","@value":"Internal Medicine"},{"@language":"en","@value":"Intern. Med."}],"dc:publisher":[{"@language":"en","@value":"The Japanese Society of Internal Medicine"},{"@language":"ja","@value":"一般社団法人 日本内科学会"}],"prism:publicationDate":"2023-01-01","prism:volume":"62","prism:number":"1","prism:startingPage":"135","prism:endingPage":"138"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/internalmedicine/62/1/62_9467-22/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2024036567"}],"availableAt":"2023-01-01","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=penile%20necrosis","dc:title":"penile necrosis"},{"@id":"https://cir.nii.ac.jp/all?q=streptococcal%20toxic%20shock%20syndrome","dc:title":"streptococcal toxic shock syndrome"},{"@id":"https://cir.nii.ac.jp/all?q=%3Ci%3EStreptococcus%20dysgalactiae%3C/i%3E%20subsp.","dc:title":"Streptococcus dysgalactiae subsp."},{"@id":"https://cir.nii.ac.jp/all?q=%3Ci%3Eequisimilis%3C/i%3E","dc:title":"equisimilis"},{"@id":"https://cir.nii.ac.jp/all?q=hemodialysis","dc:title":"hemodialysis"},{"@id":"https://cir.nii.ac.jp/all?q=elderly%20patient","dc:title":"elderly patient"},{"@id":"https://cir.nii.ac.jp/all?q=diabetes%20mellitus","dc:title":"diabetes mellitus"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360292620585240448","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Clinical Efficacy of Polyspecific Intravenous Immunoglobulin Therapy in Patients With Streptococcal Toxic Shock Syndrome: A Comparative Observational Study"}]},{"@id":"https://cir.nii.ac.jp/crid/1360294646993087232","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Non-susceptibility trends among enterococci and non-pneumococcal streptococci from bacteraemias in the UK and Ireland, 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