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Fulminant necrotizing fasciitis with toxic shock syndrome and multiorgan failure caused by group A streptococcus (GAS): a case report

Arijana Horman-Leventa ; Clinic of Anaesthesiology and Intensive Care Medicine, Clinical University Centre, Sarajevo, BIH
Ines Abdagić ; Clinic of Anaesthesiology and Intensive Care Medicine, Clinical University Centre, Sarajevo, BIH
Lejla Tafro ; Clinic of Anaesthesiology and Intensive Care Medicine, Clinical University Centre, Sarajevo, BIH
Meliha Hadžović-Čengić ; Clinic for Infective Diseases, Clinical University Centre, Sarajevo, BIH
Amela Katica-Mulalić ; Clinic of Anaesthesiology and Intensive Care Medicine, Clinical University Centre, Sarajevo, BIH

Abstract

Necrotizing fasciitis (NF) commonly known as the “flesh eating disease” is a rare and threatening life disease which is often misdiagnosed on admission. Caused by group A streptococcus (GAS), NF can lead to streptococcal toxic shock syndrome with multiple organ failure and high mortality rate (30%-70%) in spite of aggressive treatment. We present a case of a young woman who was admitted to hospital and primarily diagnosed as acute appendicitis on admission. After explorative laparotomy which showed no sign of acute abdominal illness, pale skin lesion proposing as cellulitis, on her right leg was noticed. In the next 6 hours she developed toxic shock with rapid progression of the soft tissue necrosis.

Keywords

necrotizing fasciitis; Streptococcus toxic shock syndrome; multiorgan failure; group A streptococcus (GAS)

Hrčak ID:

204601

URI

https://hrcak.srce.hr/204601

Publication date:

30.7.2018.

Article data in other languages: croatian

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