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首页> 中文期刊> 《世界临床病例杂志》 >Streptococcal toxic shock syndrome after hemorrhoidectomy: A case report

Streptococcal toxic shock syndrome after hemorrhoidectomy: A case report

         
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摘要

BACKGROUND Streptococcal toxic-shock syndrome after hemorrhoidectomy is rare but may be catastrophic.Group A streptococci have produced various surface proteins and exotoxins due to genetic changes to fight the human body’s immune response.Though life threatening infection after hemorrhoidectomy rarely occurs,all surgeons should be aware of the potential complications of severe sepsis after hemorrhoidectomy and keep in mind their clinical presenting features in order to diagnose early and administer appropriate and effective therapeutic drugs early.CASE SUMMARY Here,we present a case of a 56-year-old man with a painful thrombotic external hemorrhoid who presented to our outpatient department for management.There was no history of systemic diseases or recent disease infection.Hemorrhoidectomy was suggested and performed.After surgery,the patient developed hypotension,tachycardia,fever with chills and renal function impairment on day 2 post-operation.The clinical condition progressed to severe septic shock and metabolic acidosis.The patient responded poorly to treatment and expired after 1 d even with use of extracorporeal membrane oxygenation.The results of the blood and wound cultures showed group A streptococcus pyogenes.CONCLUSION Although extremely uncommon,all surgeons should be aware of these potential life-threatening septic complications and alert to the presenting features for patients receiving hemorrhoidectomy.

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  • 来源
    《世界临床病例杂志》 |2021年第33期|P.10238-10243|共6页
  • 作者

    Chien-Yu Lee; Yuarn-Jang Lee; Chia-Che Chen; Li-Jen Kuo;

  • 作者单位

    Department of Pediatrics Taoyuan General Hospital Ministry of Health and Welfare Taoyuan 32748 Taiwan;

    Division of Infectious Diseases Department of Internal Medicine Taipei Medical University Hospital Taipei 11031 TaiwanDivision of Infectious Diseases Department of Internal Medicine School of Medicine College of Medicine Taipei Medical University Taipei 11031 Taiwan;

    Division of Colorectal Surgery Department of Surgery Taipei Medical University Hospital Taipei 11031 Taiwan;

    Department of Surgery School of Medicine College of Medicine Taipei Medical University Taipei 11031 Taiwan;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 肿瘤学;
  • 关键词

    Hemorrhoid; Sepsis; Streptococcus pyogenes; Streptococcal toxic shock syndrome; Case report;

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