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식인박테리아

■ Necrotizing Soft Tissue Infections

 

관련정보

Necrotizing Soft Tissue Infections - Definition and Causes  [바로가기]

Necrotizing Soft Tissue Infections Risk Factors for Mortality and Strategies for Management 논문 [바로가기]

Necrotizing soft tissue infections 2014 논문 [바로가기]

Necrotizing soft tissue infections 1999 논문 [바로가기]

 

 

 

TSS, Toxic-Shock Syndrome


관련정보

A Case of Streptococcal Toxic Shock Syndrome Caused by Group A Streptococcus Pneumonia ​한국논문 [바로가기]

Streptococcal toxic-shock syndrome: spectrum of disease, pathogenesis, and new concepts in treatment 논문[바로가기]

 

Group A streptococcal toxic shock syndrome with extremely aggressive course in the third trimester 논문[바로가기]

Superantigens and Streptococcal Toxic Shock Syndrome 논문 [바로가기]

Surviving streptococcal toxic shock syndrome: a case report 논문 [바로가기]

Severe group A streptococcal toxic shock syndrome presenting as primary peritonitis: a case report and brief review of the literature 논문 [바로가기]

Intravenous Immunoglobulin G Therapy in Streptococcal Toxic Shock Syndrome:A European Randomized, Double-Blind,
Placebo-Controlled Trial 논문 [바로가기]

Successful Treatment of Necrotizing Fasciitis and Streptococcal Toxic Shock Syndrome with the Addition of Linezolid 논문 [바로가기]

Streptococcal toxic shock syndrome 논문 [바로가기]

WIKIPEDIA Toxic shock syndrome[바로가기]

Johns Hopkins medicine Staphylococcal Toxic Shock Syndrome [바로가기]

Johns Hopkins medicine Streptococcal Toxic Shock Syndrome [바로가기]

PulmCrit(EMCrit) Toxic Shock Syndrome Management: A tale of two patients [바로가기]

MEDICALNEWSTODAY Toxic shock syndrome: What you need to know [바로가기]

Medscape Toxic Shock Syndrome Treatment & Management[바로가기]

Medscape Toxic Shock Syndrome[바로가기]

healthline Toxic Shock Syndrome[바로가기]

MAYOCLINIC Toxic shock syndrome[바로가기]

DermNET New Zealand Toxic shock syndrome and toxic shock-like syndrome[바로가기]

MSD MANUAL Professinal Version Toxic Shock Syndrome (TSS)[바로가기]

MEDPAGE TODAY Toxic Shock from Strep: a 'Lightning Strike'[바로가기]

emedicinehealth Toxic Shock Syndrome [바로가기]

Clinical Advisor Streptococcal infections/toxic shock syndrome[바로가기]


정의

- TSS는 연쇄구균에 의한 감염으로 나타난다. 1978년에 처음으로 언급되었으며 월경중인 여성에서 발생하였고 고흡수성 탐폰과 관계가 있었다.

- 감염시 사망률 30~70%

  

병원체

Streptococcus

- Streptococcus pyogenes (Group A, GAS)

- Other Streptococcus species (described)

Staphylococcus

- Staphylococcus aureus (MSSA or MRSA)

- Toxic shock toxin (TSS) occurs in ~1% of S. aureus strains

 

감염경로

수술후 상처 감염, 분만후 감염, 피부감염, 피하조직 감염, 호홉기 감염으로  발생할수있다.

 

 ed49dbefd89829bf2147a3882970fcc3_1491289228_7126.jpg 

 <STSS 원인균 Streptococcus pyogenes주상전자현미경 X20> 

 

◾증상

고열, 저혈압, 발진, 울혈, 근육통, 쇼크, 폐렴, 급성호흡곤란증후근, 다발성 장기부전, serum creatine phosphokinase level 상승

 

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