Document Detail

Streptococcal toxic shock syndrome after breast reconstruction.
MedLine Citation:
PMID:  15838219     Owner:  NLM     Status:  MEDLINE    
Streptococcal toxic shock syndrome (STSS) is an increasingly common disease entity but has rarely been described in the plastic surgery literature. We present the first known case of STSS associated with a reconstructive procedure. Two weeks postoperatively from a transverse rectus abdominis musculocutaneous flap for breast reconstruction, our patient presented with flulike symptoms and progressed rapidly to multiorgan failure. Though initially no nidus for infection was evident, the abdominal donor site was surgically debrided and found to contain group A Streptococcus. Following aggressive rehydration and antibiotic therapy, the patient gradually made a full recovery. In this case report, we review the presentation and epidemiology of STSS and compare it to the more common staphylococcal toxic shock syndrome. In addition, we discuss the management and outcomes of STSS, with an emphasis on raising clinical suspicion for this rare but dangerous entity.
Ashley N Agerson; Edwin G Wilkins
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  54     ISSN:  0148-7043     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-19     Completed Date:  2005-09-29     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  553-6     Citation Subset:  IM    
Section of Plastic Surgery, University of Michigan, Ann Arbor, MI , USA.
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MeSH Terms
Anti-Bacterial Agents
Drug Therapy, Combination / therapeutic use
Fluid Therapy
Mammaplasty / adverse effects*
Rectus Abdominis / surgery
Shock, Septic / etiology*,  therapy
Streptococcal Infections / drug therapy,  etiology*,  therapy
Streptococcus pyogenes*
Surgical Flaps / adverse effects*
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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