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タイトル: | 高位精巣摘除術後に続発したToxic shock syndrome の1例 |
その他のタイトル: | A Case Report of Toxic Shock Syndrome after High Orchiectomy |
著者: | 山田, 篤 雄谷, 剛士 吉川, 元清 松本, 吉弘 山本, 広明 丸山, 良夫 |
著者名の別形: | Yamada, Atsushi Otani, Takeshi Yoshikawa, Motokiyo Matsumoto, Yoshihiro Yamamoto, Hiroaki Maruyama, Yoshio |
キーワード: | TSS High orchiectomy |
発行日: | Mar-2010 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 56 |
号: | 3 |
開始ページ: | 177 |
終了ページ: | 179 |
抄録: | We report our experience of toxic shock syndrome (TSS) in a 54-year-old male patient after high orchiectomy for testicular cancer. Four days after the surgery, he began to have diarrhea, high fever, and diffuse erythroderma followed by severe hypotension. There were no signs of postsurgical wound infection, so serious drug eruption was suspected. Methicillin-resistant Staphylococcus aureus (MRSA) was detected in the culture of the drain and result of skin biopsy, leading to the diagnosis of TSS. Following treatment with intravenous fluids, antibiotics, human immunoglobulin and corticosteroids, the symptoms went into remission. TSS progresses rapidly and becomes life-threatening if treatment is delayed. Therefore, when TSS is suspected in postsurgical patients who experience fever of 39°C or higher, dermal erythema, shock, treatment should be started promptly. |
著作権等: | 許諾条件により本文は2011-04-01に公開 |
URI: | http://hdl.handle.net/2433/108414 |
PubMed ID: | 20372048 |
出現コレクション: | Vol.56 No.3 |
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