Septic and toxic shock secondary to facial necrotising fasciitis due to group A beta-hemolytic streptococcus in an immunocompetent patient
DOI:
https://doi.org/10.32818/reccmi.a2n3a11Keywords:
necrotizing fasciitis, Streptococcus pyogenes, periorbital infection, septic shockAbstract
We present the case of a 74 year-old male with previous history of chronic global respiratory failure that was admitted for fever, pain and swelling in the area around the left eye. The clinical picture rapidly progressed in a few hours, affecting the contralateral face and progressing towards the supraclavicular zone.
Streptococcus pyogenes was confirmed and the patient required emergent surgical treatment, where he developed hemodynamic instability in the form of septic shock.
Downloads
Metrics
References
Cone L, Woodard DR, Schlievert PM, Tomory GS. Clinical and bacteriologic observations of a toxic-shock like syndrome due to Streptococcus pyogenes. N Engl J Med. 1987; 37: 146-149.
Stevens DL, Tanner MH, Winship J, Swarts R, Ries KM, Schlievert P, et al. Severe group A streptococcal infections associated with a toxic shock-like syndrome and scarlet fever toxin A. N Engl J Med. 1989; 321: 1-8.
Working Group on Severe Streptococcal Infections. Defining the group A streptococcal toxic shock syndrome: rationale and consensus definition. JAMA. 1993; 269: 390-391.
Cunningham M. Pathogenesis of Group A Streptococcal Infections. Clin Microbiol Rev. 2000 Jul; 13(3): 470-511.
Darenberg J, Luca-Harari B, Jasir A, et al. Molecular and clinical characteristics of invasive group A streptococcal infection in Sweden. Clin Infect Dis. 2007; 45: 450.
Hackett SP, Stevens DL. Superantigens associated with staphylococcal and streptococcal toxic shock syndrome are potent inducers of tumor necrosis factor-beta synthesis. J Infect Dis. 1993; 168: 232.
Kojic M, Mikic D, Nozic D, Rakonjac B. Streptococcal necrotizing fasciitis with toxic shock syndrome and rapid fatal outcome. Srp Arh Celok Lek. 2015; 143: 476-479.
Lin JN, Chang LL, Lai CH, Lin HH, Chen YH. Emergence of Streptococcus pyogenes emm102 causing toxic shock syndrome in Southern Taiwan during 2005-2012. PLoS One. 2013; 8: e81700.
Wong CH, Khin LW, Heng KS, et al. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004; 32(7): 1535-1541.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 María Teresa Pérez-Sanz, Alejandro Parra-Virto, Jaime Alonso-Muñoz, Paula Carrascosa-Fernández, Pablo Demelo-Rodríguez
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
