A Fatal Case of Streptococcal Toxic Shock Syndrome due to Streptococcus dysgalactiae subsp. equisimilis Possibly Caused by an Intramuscular Injection

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概要

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• An 88-year-old man died of streptococcal toxic shock syndrome due to a group G streptococcus infection that was possibly caused by an intramuscular injection given 30 hours earlier in his right deltoid muscle. The causative pathogen was later identified to be Streptococcus dysgalactiae subsp. equisimilis (stG485). Although providing intramuscular injections is an essential skill of health care workers that is performed daily worldwide, it may constitute a port of entry for pathogens via skin breaches that can cause life-threatening infections. All invasive procedures should be carefully performed, especially when immunologically compromised patients are involved.

• 社団法人 日本内科学会の論文

著者

• Kawanishi Susumu

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Sugiyama Junichi

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Morimoto Naoki

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Kuroe Yasutoshi

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Hagiya Hideharu

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Nojima Hiroyoshi

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Otani Shinkichi

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Naito Hiromichi

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Hagioka Shingo

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

• Okita Shunji

  Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan

関連論文

• Necrotizing Duodenitis Caused by Clostridium perfringens Type A in a Japanese Young Man
• Emphysematous Liver Abscesses Complicated by Septic Pulmonary Emboli in Patients with Diabetes: Two Cases
• A Fatal Case of Streptococcal Toxic Shock Syndrome due to Streptococcus dysgalactiae subsp. equisimilis Possibly Caused by an Intramuscular Injection
• Ineffectiveness of Daptomycin in the Treatment of Septic Pulmonary Emboli and Persistent Bacteremia Caused by Methicillin-resistant Staphylococcus aureus
• Delftia acidovorans bacteremia caused by bacterial translocation after organophosphorus poisoning in an immunocompetent adult patient

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