Group A streptococcal toxic shock syndrome with severe necrotizing fasciitis following hysterectomy--a case report.
Intensive Care Med
; 24(2): 190-3, 1998 Feb.
Article
in En
| MEDLINE
| ID: mdl-9539081
ABSTRACT
In the last 10 years an increasing number of cases of group A streptococcal toxic shock syndrome have appeared in various clinical settings. The manifestation of this syndrome includes rapidly progressive multiorgan failure and soft-tissue necrosis. This report presents a case of streptococcal toxic shock syndrome caused by Streptococcus pyogenes with severe necrotizing fasciitis of the abdominal wall following hysterectomy. Aggressive surgical intervention with debridement of all necrotic tissue necessitated resection of the complete abdominal wall (skin, subcutaneous tissue, muscle and peritoneum). The abdominal wall defect was covered with free myocutaneous flaps and split-skin grafts. Optimal treatment, including adequate antibiotic therapy and radical surgical intervention, is an indispensable prerequisite of successful outcome.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Shock, Septic
/
Fasciitis, Necrotizing
/
Hysterectomy
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Intensive Care Med
Year:
1998
Document type:
Article
Affiliation country:
Germany
Country of publication:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA