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근육괴사를 동반한 A군 β용혈성 연쇄구균에 의한 독성 쇼크증후군 환자 1례

Other Titles
 A Case of Streptococcal Toxic Shock Syndrome with Myonecrosis due toGroup A β-hemolytic Streptococcus 
 제상모  ;  조영순  ;  김승호  ;  박인철  ;  윤유상 
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.15(5) : 417-419, 2004 
Journal Title
Journal of the Korean Society of Emergency Medicine(대한응급의학회지)
Issue Date
Streptococcal infection ; Toxic shock syndrome Neerotizing fasciitis
Streptococcal toxic shock syndrome with myonecrosis is a rapidly progressive process that kills 80% of patients in 72-96 h. Various bullae, hypotension, fever, and evidence of organ failure are late clinical manifestations. The symptoms and signs of myonecrosis can be nonspecific and misleading, not clearly revealing the involvement of deep skeletal muscle. Thus, the challenge to clinicians is to make an early diagnosis and to intervene with aggressive fluid replacement, emergent surgical debridement, and general supportive measures. We describe an presentation of myonecrosis of the lower extremities secondary to group A beta-hemolytic streptococcus infection in a 21-years-old woman. In addition, the patient had no history or evidence of trauma to the affected area.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Medical Education (의학교육학과) > 1. Journal Papers
Yonsei Authors
Kim, Seung Ho(김승호)
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
Yoon, Yoo Sang(윤유상)
Cho, Young Soon(조영순)
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