在右膝骨折修复后的患者中术后的葡萄球菌毒性休克综合征:一个病例报告
Nicole Nyamongo1, James Garritano2, Daniel Rosen3
1School of Medicine, Baylor College of Medicine, Houston, USA.
Cureus
|October 27, 2025
概括
毒性休克综合征 (TSS) 是一种罕见的,危及生命的疾病. 早期识别TSS症状,如骨科手术后发烧和皮疹,对于及时诊断和治疗至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 整形外科手术 整形外科手术
背景情况:
- 毒性休克综合征 (TSS) 是一种严重的多系统性疾病,通常是由金黄色葡萄球菌引起的.
- 这种TSS表现为急性发烧,低血压,皮疹和器官干扰.
- 术后并发症可以模仿或掩盖TSS,延迟诊断.
研究的目的:
- 为了突出一种罕见的骨科手术后的TSS病例.
- 强调在术后患有全身症状和皮疹的患者考虑TSS的重要性.
- 强调在管理TSS时需要早期诊断和源控制.
主要方法:
- 一个男性患者的病例报告,患有骨骨折,正在接受手术.
- 临床表现,诊断工作和考虑的差异诊断 (例如,药物爆发).
- 跨学科咨询 (骨科和皮肤病学) 和揭示MRSA感染的外科探索.
主要成果:
- 患者在骨科手术后出现了与TSS一致的症状.
- 最初的评估没有确定手术部位是感染源.
- 手术探索揭示了一种耐美西林的金黄色葡萄球菌 (MRSA) 膝关节关节感染,证实了TSS的来源.
结论:
- 在术后骨科患者出现全身症状和皮疹时,对TSS的高怀疑指数至关重要.
- 在出现毒性的术后患者的皮肤检测结果需要考虑TSS.
- 早期诊断和手术源控制对于降低TSS发病率和死亡率至关重要.
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
842
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
842
Staphylococcal Skin Infections
143
Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
143
