Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Fatal streptococcus A shock after thoracic surgery]

O Theissen1, P Ocquidant, J P Loeb

  • 1Service d'Anesthésie-Réanimation Chirurgicale, Centre Hospitalier Louis-Pasteur, Colmar.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Outbreak of influenza A(H1N1)/2009: description of cases and crisis management in a ICU in Reunion Island].

Annales francaises d'anesthesie et de reanimation·2010
Same author

[Tracheo-oesophageal fistula. A rare complication of percutaneous tracheostomy].

Annales francaises d'anesthesie et de reanimation·2003
Same author

[Severe head injuries: effects of pre-hospital mechanical ventilation on capnia].

Annales francaises d'anesthesie et de reanimation·1999
Same author

[Severe hemorrhage from rupture of an intra-oral arteriovenous malformation].

Annales francaises d'anesthesie et de reanimation·1999
Same author

[Danaparoid (orgaran) for continuous venovenous hemodiafiltration in a patient with heparin-induced thrombocytopenia].

Annales francaises d'anesthesie et de reanimation·1998
Same author

[Ketoacidotic coma, a way to discover severe acute pancreatitis in a non-diabetic patient treated with acitretin].

Annales francaises d'anesthesie et de reanimation·1996

A patient developed toxic shock-like syndrome after surgery for pneumothorax. Group A Streptococcus was identified as the cause, highlighting the need for precise bacterial diagnosis and broad-spectrum antibiotics.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Critical Care

Background:

  • Pneumothorax is a condition where air enters the space between the lungs and chest wall.
  • Surgical interventions like bullae removal and pleural abrasion are common treatments for recurrent pneumothorax.

Observation:

  • A 23-year-old male presented with shock, tachypnea, oliguria, and erythema 48 hours post-surgery for pneumothorax.
  • Initial investigations suggested septic shock, but no clear source of infection was identified.
  • Despite broad-spectrum antibiotics, the patient's condition deteriorated, with fever and abdominal tenderness.

Findings:

  • Exploratory laparotomy did not reveal a septic focus.
  • A large pyothorax was discovered upon thoracic cavity aspiration, yielding Gram-positive cocci.

Related Experiment Videos

  • Blood and pus cultures confirmed Group A Streptococcus as the causative agent of this severe infection.

    • Implications:

    • Group A Streptococcus can cause severe, multi-organ failure syndromes, termed toxic shock-like syndrome.
    • The clinical presentation mimics staphylococcal toxic shock, necessitating accurate bacteriological diagnosis.
    • Prompt and appropriate antibiotic therapy targeting both streptococcal and staphylococcal pathogens is crucial for patient survival.