A CASE OF TOXIC SHOCK SYNDROME CAUSED BY METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS AFTER APPENDECTOMY
| Autor: | Koichi Taniwaka, Ryo Kobayashi, Takeyuki Hiramatsu, Takamitsu Kanazawa, Hiroaki Uchida, Jiro Tomiyama, Yasuyuki Inden, Naoki Takabayashi, Kosuke Hara |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
medicine.medical_specialty
Surgical stress genetic structures business.industry Clinical course Toxic shock syndrome Peritonitis biochemical phenomena metabolism and nutrition bacterial infections and mycoses medicine.disease_cause medicine.disease Methicillin-resistant Staphylococcus aureus Surgery Acute appendicitis Medicine business Staphylococcus Abdominal surgery |
| Zdroj: | The journal of the Japanese Practical Surgeon Society. 57:1085-1089 |
| ISSN: | 0386-9776 |
| Popis: | Staphylococcus causing toxic shock syndrome (TSS) in the surgical field is Methicillin-resistant Staphylococus aureus (MRSA) in most cases. Postoperative MRSA is an important factor to provoke TSS. Postoperative MRSA infection has been speculated mostly as a result of the prophylactic use of third-generation cephems on the immunologically compromised patient. However, the virulence of the bacteria may possibly overpower the defence mechanism of the host who has undergone minimum surgical stress. Recently we experienced an adult male patient with non-perforated acute appendicitis who developed MRSA peritonitis after an appendectomy causing TSS in an acute clinical course. We have reconfirmed that even patient without any risk factors can develop MRSA infection followed by TSS, if things come to the worst. The importance of the careful monitoring and management of postoperative MRSA infection even after the less invasive abdominal surgery should be emphasized. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|