Streptococcal Toxic Shock Syndrome in a Pediatric Patient With Intramuscular Venous Malformation in the Neck

被引：1

作者：

Matsuda, Norifumi ^{[1
,2
]}

Ishikawa, Kosuke ^{[1
,2
]}

Funayama, Emi ^{[1
,2
]}

Mitamura, Shintaro ^{[1
,2
]}

Sasaki, Satoru ^{[3
]}

Yamamoto, Yuhei ^{[1
,2
]}

Maeda, Taku ^{[1
,2
]}

机构：

[1] Hokkaido Univ, Fac Med, Dept Plast & Reconstruct Surg, Sapporo, Hokkaido, Japan

[2] Hokkaido Univ, Grad Sch Med, Sapporo, Hokkaido, Japan

[3] Tonan Hosp, Dept Plast & Reconstruct Surg, Ctr Vasc Anomalies, Sapporo, Hokkaido, Japan

来源：

JOURNAL OF EMERGENCY MEDICINE | 2022年 / 63卷 / 03期

关键词：

hemangioma; cavernous; vascular malformations; streptococcal infections; shock; septic; pediatrics;

D O I：

10.1016/j.jemermed.2022.07.018

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Streptococcal toxic shock syndrome (STSS) is diagnosed based on signs of shock with multiorgan system involvement, a generalized erythematous macular rash, and rapidly progressive and destructive soft tissue infection. Case Report: The patient was a 2-year-old girl with intramuscular venous malformation in the neck in which an infection occurred, developing into STSS. Why Should an Emergency Physician Be Aware of This?: Group A streptococcal infections are common in children and usually have a mild clinical presentation, but may be life threatening in severe cases. Patients with venous malformations are known to have slow-flow anomalies with venous pooling, which can result in hypoxia and possible immune cell dysfunction. Thus, clinicians should be aware of STSS when a patient with venous malformation has a rapidly progressive infection. (c) 2022 Elsevier Inc. All rights reserved.

引用

页码：E72 / E76

页数：5

共 9 条

[1] Streptococcal toxic shock syndrome: a description of 14 cases from North Yorkshire, UK [J].