Cases reported "Shock, Septic"

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1/55. Rapidly fatal necrotizing fasciitis after aesthetic liposuction.

    Necrotizing fasciitis (NF) is a rapidly progressive soft tissue infection involving primarily the superficial fascia and subcutaneous tissue. The disease is caused by streptococcus pyogenes or synergistic infection of anaerobic and facultative anaerobic bacteria. Further characteristics are severe, intolerable pain and a mortality rate of 30 to 50%. The NF can be initiated after surgical procedures, minor trauma, trivial scratches, in the setting of a chronic wound, or even in apparently intact skin. The age of the patient is not relevant for the prognosis of NF. As it is shown in this reported case, a young and previously healthy patient died after aesthetic liposuction in the course of a NF. Necrotizing fasciitis is a rare disease, therefore, it is important to review its diagnostic and clinical features, because only early diagnosis and prompt, radical surgery improves the survival rate.
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keywords = wound
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2/55. Acquired subglottic stenosis caused by methicillin resistant staphylococcus aureus that produce epidermal cell differentiation inhibitor.

    Local infection of the trachea in intubated neonates is one of the main risk factors for development of acquired subglottic stenosis, although its role in the pathogenesis is unclear. methicillin resistant staphylococcus aureus (MRSA) is often the cause of critical illness in neonatal patients. Two cases are reported of acquired subglottic stenosis following bacterial infection of the trachea, suggesting an association with the staphylococcal exotoxin, epidermal cell differentiation inhibitor (EDIN). EDIN-producing MRSA were isolated from purulent tracheal secretions from both infants. Acquired subglottic stenosis in both cases was probably caused by delayed wound healing as the result of EDIN inhibition of epithelial cell migration.
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keywords = wound
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3/55. Toxic shock syndrome in a patient with breast cancer and systemic lupus erythematosus.

    A case is reported of a lady with systemic lupus erythematosus (SLE) who developed toxic shock syndrome following breast surgery. staphylococcus aureus was cultured from the wound. The relative immunosuppression of SLE may have been a precipitating factor. copyright Harcourt Publishers Limited.
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keywords = wound
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4/55. Toxic shock syndrome associated with the use of the vacuum-assisted closure device.

    The vacuum-assisted wound closure technique and device (the V.A.C.) has become a widely accepted technique in the management of chronic and difficult wounds. The authors present the first reported case of toxic shock syndrome associated with its use. This article does not question the efficacy of the V.A.C. technique in the treatment of difficult wounds, but focuses on raising the index of suspicion of toxic shock syndrome in patients with wounds managed with the V.A.C. who develop early signs or symptoms that may be consistent with the diagnosis.
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ranking = 4
keywords = wound
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5/55. Toxic shock syndrome originating from the foot.

    The most familiar etiology of toxic shock syndrome (TSS) is that of menstruation and tampon use. Nonmenstrual TSS has been described in all types of wounds including postsurgical, respiratory infection, mucous membrane disruption, burns, and vesicular lesions caused by varicella and shingles. A case of TSS occurring in a diabetic male patient with foot blisters is presented. Early recognition by an infectious disease specialist and appropriate medical management led to complete recovery. There have been no reported cases of staphylococcus aureus TSS originating in the foot to date.
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keywords = wound
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6/55. Frequent association with neurosurgical conditions in adult proteus mirabilis meningitis: report of five cases.

    adult Proteus (P.) mirabilis meningitis is relatively rare and has not been examined individually in the English-language literature. During a period of 15 years (January 1986-December 2000), four adult patients with P. mirabilis meningitis and one adult patient with mixed bacterial meningitis involving P. mirabilis were identified at Chang Gung Memorial Hospital, Kaohsiung. These five patients included one man and four women, aged from 19 to 74 years (mean age=55.4). P. mirabilis infection accounted for 1.7% (4/229) of cases of our culture-proven monomicrobial adult bacterial meningitis and was involved in 7.1% (1/14) of cases of our adult mixed bacterial meningitis during this period. Underlying debilitating conditions including diabetes mellitus and neurosurgical disorders were common in these five cases. adult P. mirabilis meningitis had an acute clinical course, with fever and consciousness-disturbance occurring as most prominent clinical manifestations in all patients. Other common manifestations included hydrocephalus, seizure, septic shock and wound infection. Hematogenous spread would appear to be the most likely mechanism. Multi-antibiotic resistant strains of P. mirabilis were not found in our patients. All strains were susceptible to third-generation cephalosporins, imipenem, aztreonam and ciprofloxacin. The results of treatment for adult P. mirabilis meningitis were not satisfactory, most of the patients surviving with severe neurological deficit.
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ranking = 61.195502351253
keywords = wound infection, wound
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7/55. A rare and lethal complication of external collecting device for neuropathic voiding dysfunction--a case report.

    We present a rare and severe complication of condom. A 78-year-old man of dementia and neuropathic voiding dysfunction were sent to our Emergency Room due to loss of consciousness. Preliminary examinations showed only tachycardia and hypotension that revealed a condition of septic shock. The abnormal laboratory examinations revealed leukocytosis and deteriorated liver and renal function. urinalysis was unable to be collected at emergency room because it was difficult to indwell the Foley catheter. The penis looked more than twice normal length. Strong parenteral antibiotics were given after blood culturing with removal of the condom. After debridement, the catheterization was successful. The circumcised wound healed gradually post-operation. However, he died 5 days later because of his severe urosepsis.
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8/55. Septic shock syndrome in the surgical wound care patient.

    The occurrence of septic shock in lower extremity surgery is rare. Its early identification and treatment are vital to its outcome. The authors present a case history of septic shock occurring in the surgical wound care patient, discuss the pathophysiology of septic shock, and then consider diagnosis along with treatment options.
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keywords = wound
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9/55. Infective endocarditis due to staphylococcus aureus involving three cardiac valves. A case study.

    A 20-year-old woman, diagnosed with coarctation of the aorta, situs viscerum inversus, and bicuspid aortic valve, underwent corrective surgery for the coarctation. After a postoperative neurological state that suggested a spinal lesion, corticosteroid therapy was initiated and the patient was discharged early from the unit to begin a motor rehabilitation program. Following the dehiscence of the thoracotomy surgical wound, a severe infective clinical picture, sustained by methicillin-resistant S. Aureus (MRSA), became evident with a diagnosis of bacterial endocarditis involving the aortic, mitral and tricuspid valves and caused the patient's death due to septic shock complicated by ARDS. According to the authors, the early discharge of the patients after such a complex operation, the eccessive lengthening of the steroid therapy that would have contribuited to delay the diagnosis, causing the lack of preventing identification of the first signs of infection and the impossibility for the patient to have another operation (involving 3 valves) are conclusive elements that led to the above mentioned complications.
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ranking = 1
keywords = wound
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10/55. vancomycin-resistant enterococcus faecalis colonization during recovery from neisseria meningitidis cerebrospinal meningitis. Case report.

    A 19-year-old man had been admitted to the Hospital because of septic shock and large scale suffusions all over the body. The pathogen had proved to be neisseria meningitidis serogroup C. In his stabilization period two superinfectious attacks arose. One of them was a bacteremia, caused by a vancomycin-sensitive enterococcus faecium. The second was a wound infection in his deep colliquating necrotised tissue of the heel. vancomycin-resistant enterococcus faecalis (VREF) was isolated from this lesion with some Gram-negative opportunistic pathogens. The strain contained the vanA gene. After systemic and topical treatment, furthermore plastic surgical interventions the patient recovered. This is the second report on VREF from hungary colonizing/infecting a patient with an underlying disease.
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ranking = 61.195502351253
keywords = wound infection, wound
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