Streptococcal toxic shock syndrome: Two case reports
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Streptekoksik toksik şok sendromu (TSS), en sık deriden kaynaklanan bir streptekok enfeksiyonunun komplikasyonu sonucu olarak ortaya çıkmaktadır. Bu sendrom ateş, hipotansiyon ve çoklu organ yetmezliği ile karakterizedir. 64 yaşındaki erkek hasta yüzünde ve gözünde ani başlayan şişlik ve kızarıklık şikayeti ile başvurdu. Hastada bilateral periorbital ödem, sağ gözde pürülan akıntı ve frontal bölgeden başlayıp boynun sağ tarafına yayılan hassas bir şişlik vardı. Akıntıdan yapılan gram boyamasında bol lökosit ve gram pozitif kok görüldü. Tedavide antibiyotik, kortikosteroid, solunum ve hemodinamik destek verildi. 70 yaşında erkek hasta gözünde ani başlayan şişlik ve akıntı şikaye- ti ile başvurdu. Hastanın fizik muayenesinde bilateral kapaklarda şişlik, ödem, hiperemi, ile ısı artışı mevcuttu. Akıntıdan yapılan gram boyamada her sahada bol lökosit ve gram () kok görüldü ve antibiyotik tedavisi verildi. Streptokokların neden olduğu toksik şok sendromu ağır bir tablodur ve acil servislerde nadir görülür. Klinik tabloda agresiv yumuşak doku enfeksiyonu, şok, ARDS ve böbrek yetmezliği ile ilişkili bir bakteriyemi tablosu vardır. Agresiv tedaviye rağmen mortalite %80dir. (JAEM 2013; 12: 49-51)
Streptococcal toxic shock syndrome (STSS), the most common complication of skin infection is caused by a streptoccus. This syndrome is characterized by fever, hypotension and multiple organ failure. A 64 year old male patient with sudden onset of facial swelling and redness in the eye was admitted to hospital with these complaints. The patient had bilateral periorbital edema, purulent discharge from the right eye and swelling starting from the frontal region and spreading to the right side of the neck. The gram stain of the discharge was made and gram-positive cocci were seen in the abundant leukocytes. Antibiotics, corticosteroids, respiratory and hemodynamic support were given as the treatment protocol. A 70 year old male patient with sudden swelling in the eyes and discharge from the eyes was admitted with these complaints. Bilateral lid swelling, edema, hyperemia and temperature increase were present in the patients physical examination. The gram stain of the discharge was made and gram-positive cocci and abundant leukocytes were seen. Antibiotic treatment was given. Toxic shock syndrome caused by streptococcus is a serious clinical condition rarely encountered in emergency department. Aggressive soft tissue infections in the clinical presentation, shock, ARDS and renal failure are generally associated with bacteremia. Despite aggressive treatment, the mortality rate is 80%. (JAEM 2013; 12: 49-51)
Streptococcal toxic shock syndrome (STSS), the most common complication of skin infection is caused by a streptoccus. This syndrome is characterized by fever, hypotension and multiple organ failure. A 64 year old male patient with sudden onset of facial swelling and redness in the eye was admitted to hospital with these complaints. The patient had bilateral periorbital edema, purulent discharge from the right eye and swelling starting from the frontal region and spreading to the right side of the neck. The gram stain of the discharge was made and gram-positive cocci were seen in the abundant leukocytes. Antibiotics, corticosteroids, respiratory and hemodynamic support were given as the treatment protocol. A 70 year old male patient with sudden swelling in the eyes and discharge from the eyes was admitted with these complaints. Bilateral lid swelling, edema, hyperemia and temperature increase were present in the patients physical examination. The gram stain of the discharge was made and gram-positive cocci and abundant leukocytes were seen. Antibiotic treatment was given. Toxic shock syndrome caused by streptococcus is a serious clinical condition rarely encountered in emergency department. Aggressive soft tissue infections in the clinical presentation, shock, ARDS and renal failure are generally associated with bacteremia. Despite aggressive treatment, the mortality rate is 80%. (JAEM 2013; 12: 49-51)
Açıklama
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Acil Tıp
Kaynak
Akademik Acil Tıp Dergisi
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Cilt
12
Sayı
1
