Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan
Background. Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus. It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours. TSLS presenting as primary peritonitis is rare, especiall...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/4984679 |
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| author | Shunsuke Sakuraba Shuhei Ueda Satoshi Tokuda Tomoaki Ito Tomoyuki Kushida Mutsumi Sakurada Hiroshi Maekawa Koichi Sato |
| author_facet | Shunsuke Sakuraba Shuhei Ueda Satoshi Tokuda Tomoaki Ito Tomoyuki Kushida Mutsumi Sakurada Hiroshi Maekawa Koichi Sato |
| author_sort | Shunsuke Sakuraba |
| collection | DOAJ |
| description | Background. Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus. It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours. TSLS presenting as primary peritonitis is rare, especially in a male. Herein, we report a case of TSLS in a male presenting with primary peritonitis, with a review of 25 cases in Japan. Case Presentation. A 51-year-old male was referred to our hospital with abdominal pain and hypotension. We made a preoperative diagnosis of peritonitis with septic shock and performed an emergency operation. Intraoperative findings indicated no marked origin of the peritonitis. Preoperative blood culture showed the presence of group A hemolytic streptococcus. The patient required intensive care involving artificial respiration, abdominal drainage and cytokine absorption therapy, and was discharged on postoperative day 25. Conclusion. TSLS in a male presenting as primary peritonitis is rare. Although this condition is a severe infection, it can be treated by multimodal therapy. |
| format | Article |
| id | doaj-art-05176b2d885448adbde2cf3cef1ffe29 |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-05176b2d885448adbde2cf3cef1ffe292025-08-20T02:02:58ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/49846794984679Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in JapanShunsuke Sakuraba0Shuhei Ueda1Satoshi Tokuda2Tomoaki Ito3Tomoyuki Kushida4Mutsumi Sakurada5Hiroshi Maekawa6Koichi Sato7Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Shizuoka, JapanBackground. Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus. It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours. TSLS presenting as primary peritonitis is rare, especially in a male. Herein, we report a case of TSLS in a male presenting with primary peritonitis, with a review of 25 cases in Japan. Case Presentation. A 51-year-old male was referred to our hospital with abdominal pain and hypotension. We made a preoperative diagnosis of peritonitis with septic shock and performed an emergency operation. Intraoperative findings indicated no marked origin of the peritonitis. Preoperative blood culture showed the presence of group A hemolytic streptococcus. The patient required intensive care involving artificial respiration, abdominal drainage and cytokine absorption therapy, and was discharged on postoperative day 25. Conclusion. TSLS in a male presenting as primary peritonitis is rare. Although this condition is a severe infection, it can be treated by multimodal therapy.http://dx.doi.org/10.1155/2019/4984679 |
| spellingShingle | Shunsuke Sakuraba Shuhei Ueda Satoshi Tokuda Tomoaki Ito Tomoyuki Kushida Mutsumi Sakurada Hiroshi Maekawa Koichi Sato Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan Case Reports in Gastrointestinal Medicine |
| title | Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan |
| title_full | Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan |
| title_fullStr | Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan |
| title_full_unstemmed | Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan |
| title_short | Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan |
| title_sort | group a streptococcal toxic shock like syndrome in a male presenting as primary peritonitis a case report and a review in japan |
| url | http://dx.doi.org/10.1155/2019/4984679 |
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