2 research outputs found
Fulminantni nekrotizirajuÄi fasciitis sa sindromom toksiÄnog Å”oka i viÅ”estrukim zatajenjem organa uzrokovan streptokokom grupe A (GAS): prikaz sluÄaja
Necrotizing fasciitis (NF) commonly known as the āflesh eating diseaseā is a rare and threatening life disease which is often misdiagnosed on admission. Caused by group A streptococcus (GAS), NF can lead to streptococcal toxic shock syndrome with multiple organ failure and high mortality rate (30%-70%) in spite of aggressive treatment. We present a case of a young woman who was admitted to hospital and primarily diagnosed as acute appendicitis on admission. After explorative laparotomy which showed no sign of acute abdominal illness, pale skin lesion proposing as cellulitis, on her right leg was noticed. In the next 6 hours she developed toxic shock with rapid progression of the soft tissue necrosis.NekrotizirajuÄi fasciitis (NF) poznat kao "bolest koja jede meso" rijetka je i životno ugrožavajuÄa bolest koja se, pri prijemu u bolnicu, Äesto pogreÅ”no dijagnosticira. NekrotizirajuÄi fasciitis uzrokovan streptokokom grupe A (GAS) može, unatoÄ agresivnom lijeÄenju, dovesti do streptokoknog sindroma toksiÄnog Å”oka s viÅ”estrukim zatajenjem organa visoke stope smrtnosti (30% -70%). Opisujemo sluÄaj mlade žene koja je primljena u bolnicu i primarno dijagnosticirana kao akutna upala slijepog crijeva. Nakon laparotomije koja nije pokazala znakove akutne bolesti abdomena, primijeÄena je blijeda lezija kože desne noge te se posumnjalo na celulitis. U iduÄih 6 sati u bolesnice se razvio toksiÄni Å”ok s brzim napredovanjem nekroze mekog tkiva
Fulminantni nekrotizirajuÄi fasciitis sa sindromom toksiÄnog Å”oka i viÅ”estrukim zatajenjem organa uzrokovan streptokokom grupe A (GAS): prikaz sluÄaja
Necrotizing fasciitis (NF) commonly known as the āflesh eating diseaseā is a rare and threatening life disease which is often misdiagnosed on admission. Caused by group A streptococcus (GAS), NF can lead to streptococcal toxic shock syndrome with multiple organ failure and high mortality rate (30%-70%) in spite of aggressive treatment. We present a case of a young woman who was admitted to hospital and primarily diagnosed as acute appendicitis on admission. After explorative laparotomy which showed no sign of acute abdominal illness, pale skin lesion proposing as cellulitis, on her right leg was noticed. In the next 6 hours she developed toxic shock with rapid progression of the soft tissue necrosis.NekrotizirajuÄi fasciitis (NF) poznat kao "bolest koja jede meso" rijetka je i životno ugrožavajuÄa bolest koja se, pri prijemu u bolnicu, Äesto pogreÅ”no dijagnosticira. NekrotizirajuÄi fasciitis uzrokovan streptokokom grupe A (GAS) može, unatoÄ agresivnom lijeÄenju, dovesti do streptokoknog sindroma toksiÄnog Å”oka s viÅ”estrukim zatajenjem organa visoke stope smrtnosti (30% -70%). Opisujemo sluÄaj mlade žene koja je primljena u bolnicu i primarno dijagnosticirana kao akutna upala slijepog crijeva. Nakon laparotomije koja nije pokazala znakove akutne bolesti abdomena, primijeÄena je blijeda lezija kože desne noge te se posumnjalo na celulitis. U iduÄih 6 sati u bolesnice se razvio toksiÄni Å”ok s brzim napredovanjem nekroze mekog tkiva