Toxic shock syndrome associated with vulvar necrotizing fasciitis
| Autor: | Deborah J. Dotters, Duane E. Farley, Vern L. Katz |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Respiratory distress business.industry Toxic shock syndrome Obstetrics and Gynecology General Medicine medicine.disease Intensive care unit law.invention Vulva Surgery medicine.anatomical_structure law Shock (circulatory) Maculopapular rash medicine medicine.symptom business Fasciitis Vulvar Diseases |
| Zdroj: | Obstetrics & Gynecology. 82:660-662 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/00006250-199310000-00040 |
| Popis: | Background: Fifty percent of toxic shock syndrome is associated with nonmenstrual etiologies such as postoperative wound infection. Case: A 44-year-old woman developed necrotizing vulvar fasciitis that was successfully treated with surgical debridement and broad-spectrum antibiotics. However, after improving for 3 days postoperatively, she developed fever, a generalized maculopapular rash, and renal and liver abnormalities. As her condition worsened, she developed hypotension and respiratory distress. After 5 days in the intensive care unit, she gradually improved. Her wound culture from admission grew multiple organisms, includingStaphylococcus aureusthat produced toxic shock syndrome toxin-1. Conclusion: Toxic shock may occur in varied gynecologic settings, including pelvic and perineal infection. Successful management requires a prompt and aggressive response to multi-organ system failure.(Obstet Gynecol 1993;82:660-2) |
| Databáze: | OpenAIRE |
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