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Group B Streptococcal Toxic Shock-like Syndrome: A Case Report and Review of the Literature
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¼Õº¸¶ó(Son Bo-Ra) - ÃæºÏ´ëÇб³ ÀÇ°ú´ëÇÐ Áø´Ü°Ë»çÀÇÇб³½Ç
½Å°æ¼·(Shin Kyeong-Seob) - ÃæºÏ´ëÇб³ ÀÇ°ú´ëÇÐ Áø´Ü°Ë»çÀÇÇб³½Ç
Abstract
µ¶¼ÒÃæ°ÝÁõÈıº(toxic shock syndrome, TSS)Àº ¼¼±ÕÀÇ µ¶¼Ò¿¡ ÀÇÇØ À¯¹ßµÇ´Â ±Þ¼º, ´ÙÀå±âºÎÀü ¿¼ºÁúȯÀ¸·Î ÈçÈ÷ µ¶¼Ò¸¦ »ý¼ºÇϴ Ȳ»öÆ÷µµ¾Ë±Õ ¶Ç´Â »ç½½¾Ë±Õ¿¡ ÀÇÇØ ¹ß»ýÇÑ´Ù. »ç½½¾Ë±Õ TSS´Â ÁÖ·Î A±º »ç½½¾Ë±Õ¿¡ ÀÇÇϸç A±º ÀÌ¿ÜÀÇ »ç½½¾Ë±Õ¿¡ ÀÇÇØ ¹ß»ýÇÏ´Â °ÍÀº µå¹°´Ù. ÀúÀÚµéÀº ¾ËÄڿüº °£°æÈ È¯ÀÚ¿¡¼ B±º »ç½½¾Ë±Õ(Streptococcus agalactiae)¿¡ ÀÇÇÑ TSS 1¿¹¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù. ȯÀÚ´Â ÀǽÄÀúÇÏ¿Í »çÁö¿¡ Ç÷¼º¼öÆ÷·Î ³»¿øÇÏ¿´À¸¸ç, ¼Òº¯°ú ¼öÆ÷¿¡¼S. agalactiae°¡ ºÐ¸®µÇ¾ú´Ù. °¨¼ö¼º Ç×»ýÁ¦ÀÇ Åõ¿©¿¡µµ ºÒ±¸ÇÏ°í °æ°ú°¡ ±Þ°ÝÇÏ°Ô ÁøÇàµÇ¾î ³»¿ø 4Àϸ¸¿¡ »ç¸ÁÇÏ¿´´Ù.
Toxic shock syndrome is an acute and febrile illness that rapidly progress to shock and multi-organ failure, and it is caused by toxin-producing strains of Staphylococcus aureus or Streptococcus species. Streptococcal toxic shock syndrome (STSS) is usually caused by group A streptococci, but non-group A STSS is rare. In this study, we describe a case of STSS caused by Streptococcus agalactiae (group B streptococci) in a patient with alcoholic liver cirrhosis. At arrival in our hospital, the patient had a decreased mental status with hemorrhagic bullae on four extremities, and he progressed to a fatal outcome within 4 days in spite of antibiotic treatment.
Å°¿öµå
Liver cirrhosis, Streptococcus agalactiae, Toxic shock syndrome
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0829320140170030091
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