Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan.
Journal
Case reports in gastrointestinal medicine
ISSN: 2090-6528
Titre abrégé: Case Rep Gastrointest Med
Pays: United States
ID NLM: 101580185
Informations de publication
Date de publication:
2019
2019
Historique:
received:
08
08
2019
revised:
13
10
2019
accepted:
18
11
2019
entrez:
14
1
2020
pubmed:
14
1
2020
medline:
14
1
2020
Statut:
epublish
Résumé
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. 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. TSLS in a male presenting as primary peritonitis is rare. Although this condition is a severe infection, it can be treated by multimodal therapy.
Sections du résumé
BACKGROUND
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
METHODS
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
CONCLUSIONS
TSLS in a male presenting as primary peritonitis is rare. Although this condition is a severe infection, it can be treated by multimodal therapy.
Identifiants
pubmed: 31929917
doi: 10.1155/2019/4984679
pmc: PMC6942788
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4984679Informations de copyright
Copyright © 2019 Shunsuke Sakuraba et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
Références
Kansenshogaku Zasshi. 1993 Mar;67(3):236-9
pubmed: 8486981
Ther Apher Dial. 2008 Oct;12(5):374-80
pubmed: 18937720
Shock. 2011 Oct;36(4):332-8
pubmed: 21654557
N Engl J Med. 1987 Jul 16;317(3):146-9
pubmed: 3299086
Surg Today. 2004;34(12):1053-6
pubmed: 15580392
JAMA. 1993 Jan 20;269(3):390-1
pubmed: 8418347
N Engl J Med. 1989 Jul 6;321(1):1-7
pubmed: 2659990
Crit Care Med. 2006 Mar;34(3):625-31
pubmed: 16521260
Clin Infect Dis. 2003 Aug 1;37(3):333-40
pubmed: 12884156
Surg Infect (Larchmt). 2013 Apr;14(2):171-6
pubmed: 23464678
J Anesth. 2006;20(1):11-6
pubmed: 16421670
Ann Surg. 1993 Feb;217(2):109-14
pubmed: 8439208
J Clin Gastroenterol. 2000 Apr;30(3):332-5
pubmed: 10777203
Clin Infect Dis. 1992 Jan;14(1):2-11
pubmed: 1571429
Clin Infect Dis. 2005 Nov 15;41(10):1373-406
pubmed: 16231249