When All Else Fails: A Rare Case of Postoperative Toxic Shock Syndrome Arising from Surgical Site Infection after Decompressive Neurectomy Successfully Treated with Angiotensin-2

Toxic shock syndrome is a serious complication of Streptococcus pyogenes or Staphylococcus aureus infections associated with very high morbidity and mortality. Postoperative toxic shock syndrome is an extremely rare phenomenon which manifests as fevers, diffuse rash, septic shock, and death. We present the first reported case of toxic shock syndrome associated with a surgical site infection from a decompressive neurectomy for refractory migraines in a 41-year-old female as well as the first use of angiotensin-2 vasopressor therapy to treat persistent septic shock from toxic shock syndrome refractory to conventional therapies.

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Infected abdominal aorta aneurysm secondary to streptococcal toxic shock syndrome due to Streptococcus pyogenes : a case report from Japan

Acute Medicine & Surgery ◽

10.1002/ams2.617 ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Shiho Taniguchi ◽

Yukio Sato ◽

Naotaka Shimatani ◽

Yosaku Torii ◽

Mariko Sekimizu ◽

...

Keyword(s):

Case Report ◽

Streptococcus Pyogenes ◽

Abdominal Aorta ◽

Toxic Shock Syndrome ◽

Streptococcal Toxic Shock Syndrome ◽

Toxic Shock ◽

Abdominal Aorta Aneurysm ◽

Aorta Aneurysm

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A rare case of staphylococcal toxic shock syndrome after abdominoplasty

Aesthetic Surgery Journal ◽

10.1016/j.asj.2007.01.007 ◽

2007 ◽

Vol 27 (2) ◽

pp. 162-166 ◽

Cited By ~ 1

Author(s):

R JARRAHY ◽

J ROOSTAEIAN ◽

M KAUFMAN ◽

C CRISERA ◽

J FESTEKJIAN

Keyword(s):

Toxic Shock Syndrome ◽

Rare Case ◽

Toxic Shock ◽

Staphylococcal Toxic Shock Syndrome

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P4: A Rare Case of Delayed Staphylococcal Toxic Shock Syndrome Following Abdominoplasty

Plastic & Reconstructive Surgery ◽

10.1097/00006534-200609151-00101 ◽

2006 ◽

Vol 118 (Supplement) ◽

pp. 88

Author(s):

Reza Jarrahy ◽

Matthew R. Kaufman ◽

Jason Roostaeian ◽

Andrew Trussler ◽

Christopher Crisera ◽

...

Keyword(s):

Toxic Shock Syndrome ◽

Rare Case ◽

Toxic Shock ◽

Staphylococcal Toxic Shock Syndrome

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Spontaneous mutations in Streptococcus pyogenes isolates from streptococcal toxic shock syndrome patients play roles in virulence

Scientific Reports ◽

10.1038/srep28761 ◽

2016 ◽

Vol 6 (1) ◽

Cited By ~ 8

Author(s):

Tadayoshi Ikebe ◽

Takayuki Matsumura ◽

Hisako Nihonmatsu ◽

Hitomi Ohya ◽

Rumi Okuno ◽

...

Keyword(s):

Streptococcus Pyogenes ◽

Toxic Shock Syndrome ◽

Streptococcal Toxic Shock Syndrome ◽

Spontaneous Mutations ◽

Toxic Shock

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Gastrointestinal Mucormycosis following aStreptococcus pyogenesToxic Shock Syndrome in a Previously Healthy Patient: A Case Report

Case Reports in Infectious Diseases ◽

10.1155/2012/476719 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Jean-François Roussy ◽

Catherine Allard ◽

Guy St-Germain ◽

Jacques Pépin

Keyword(s):

Case Report ◽

Opportunistic Infection ◽

Streptococcus Pyogenes ◽

Toxic Shock Syndrome ◽

Immunocompromised Patients ◽

Healthy Patient ◽

Toxic Shock ◽

Rhizopus Microsporus ◽

First Case ◽

Rhizopus Sp

Mucormycosis is an uncommon opportunistic infection and the gastrointestinal form is the rarest.Rhizopus sp. is the most frequent pathogen and infection occurs almost exclusively in immunocompromised patients. We describe the first case of intestinal mucormycosis occurring after aStreptococcus pyogenestoxic shock syndrome in a previously healthy patient caused byRhizopus microsporusvar.azygosporus.

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Fulminant infection and toxic shock syndrome caused by Streptococcus pyogenes

Journal of Emergency Medicine ◽

10.1016/s0736-4679(02)00436-5 ◽

2002 ◽

Vol 22 (4) ◽

pp. 357-366 ◽

Cited By ~ 19

Author(s):

Kevin L Fox ◽

Michael W Born ◽

Merrill A Cohen

Keyword(s):

Streptococcus Pyogenes ◽

Toxic Shock Syndrome ◽

Toxic Shock

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Pemanfaatan Buah Belimbing Wuluh (Averrhoa bilimbi L.) Sebagai Alternatif Penanganan Toxic Shock Syndrome

Jurnal Farmasi Udayana ◽

10.24843/jfu.2019.v08.i02.p03 ◽

2020 ◽

pp. 73 ◽

Cited By ~ 1

Author(s):

Suly Sunarsi

Keyword(s):

Staphylococcus Aureus ◽

Streptococcus Pyogenes ◽

Toxic Shock Syndrome ◽

Stevia Rebaudiana ◽

Toxic Shock

Toxic Shock Syndrome (TSS) merupakan penyakit akut yang mengancam jiwa yang dimediasi oleh racun, biasanya dipicu oleh infeksi Staphylococcus aureus atau grup A Streptococcus (GAS), diantaranya Streptococcus pyogenes. Pemanfaatan buah belimbing wuluh masih terbatas dibandingkan dengan ketersediannya di kalangan masyarakat, sehingga penelitian ini bermaksud untuk memanfaatkan belimbing wuluh yang diformulasi dalam bentuk Infused Water dengan pemanis alami Stevia rebaudiana yang digunakan sebagai alternatif penanganan Toxic Shock Syndrome dengan penghambatan pada bakteri Streptococcus pyogenes. Sari buah belimbing wuluh dan liofilisatnya diujikan terhadap Streptococcus pyogenes secara In Vitro dengan beberapa variasi konsentrasi untuk melihat aktivitas antibakterinya. Infused water buah belimbing wuluh dibuat dengan metode perendaman selama 12 jam dan 24 jam dengan kombinasi 500 mg daun stevia dalam 250 mL air matang dan dievaluasi menggunakan uji organoleptik, uji ALT dan uji MPN. Hasil penelitian menunjukkan uji aktivitas antibakteri sari buah belimbing wuluh terdapat zona hambat dengan diameter 7,09±0,2 (1%), 7,41±0,1 (3%), 8,33±0,3 (5%), dan 8,38±0,2 (10%). Sedangkan liofilisat sari buah belimbing wuluh menunjukkan zona hambat dengan diameter 7,11±0,4 (1%), 7,34±0,3 (3%), 7,05±0,8 (5%), dan 7,44±0,9 (10%).

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