scholarly journals Periocular Necrotizing Fasciitis with Toxic Shock Syndrome

2018 ◽  
Vol 9 (2) ◽  
pp. 299-303
Author(s):  
Tri Rejeki Herdiana ◽  
Yasuhiro Takahashi ◽  
Ma. Regina Paula Valencia ◽  
Marian Grace Ana-Magadia ◽  
Hirohiko Kakizaki
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Necrotizing Fasciitis ◽  
Toxic Shock Syndrome ◽  
Surgical Intervention ◽  
High Dose ◽  
Toxic Shock ◽  
Intravenous Antibiotic ◽  
High Level ◽  
Prompt Diagnosis

Purpose: To report a case of periocular necrotizing fasciitis with toxic shock syndrome. Methods: This is a case report of a previously healthy 69-year-old woman with left preseptal eyelid infection that spread rapidly and deteriorated into necrosis of the eyelid with toxic shock syndrome. She was admitted to intensive care unit for hemodynamic stabilization. Results: Intravenous antibiotic and high-dose immunoglobulin were administered followed by surgical debridement. Rehabilitative eyelid reconstruction was performed after acute episode, resulting in patient satisfaction in relation to periocular function and appearance. Conclusion: We reported a case of periocular necrotizing fasciitis with toxic shock syndrome that necessitated early aggressive medical treatment and adequate surgical intervention to decrease morbidity and mortality. A high level of suspicion of periocular necrotizing fasciitis is necessary to make a prompt diagnosis.

Toxic shock syndrome in a paediatric intensive care unit over the last 15 years

2017 ◽  
Vol 87 (2) ◽  
pp. 111-113
Author(s):  
Laura Butragueño Laiseca ◽  
Marina García Morín ◽  
Estíbaliz Barredo Valderrama ◽  
Andrés J. Alcaraz Romero
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Toxic Shock Syndrome ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care ◽  
Toxic Shock

scholarly journals Streptococcal toxic shock syndrome in the intensive care unit

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Marylin Schmitz ◽  
Xavier Roux ◽  
Benedikt Huttner ◽  
Jérôme Pugin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock

Surgical treatment of refractory status epilepticus in children

2013 ◽  
Vol 12 (4) ◽  
pp. 360-366 ◽  
Author(s):  
Sanjiv Bhatia ◽  
Faiz Ahmad ◽  
Ian Miller ◽  
John Ragheb ◽  
Glenn Morrison ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Status Epilepticus ◽  
Intensive Care Unit Stay ◽  
Surgical Intervention ◽  
Refractory Status Epilepticus ◽  
High Dose ◽  
High Morbidity ◽  
Ictal Spect ◽  
Refractory Status

Object Refractory status epilepticus (RSE) is a life-threatening neurological emergency associated with high morbidity and mortality. Affected patients often require prolonged intensive care and can suffer multiple complications. Surgical intervention to control RSE is rarely used but can obviate the risks of prolonged seizures and intensive care treatment. Authors of the present study analyzed their experience with the surgical management of patients suffering from RSE. Methods The Epilepsy Surgery Database at Miami Children's Hospital was reviewed for patients who had undergone surgery for RSE. Clinical presentation, electrophysiological profile, radiological data, surgical details, and postoperative course were evaluated. Results Between 1990 and 2012, 15 patients underwent surgery for uncontrolled seizures despite high-dose medical suppressive therapy. The mean preoperative duration of status epilepticus was 8 weeks. Ictal SPECT and FDG-PET imaging in conjunction with intraoperative electrophysiological studies helped to outline the extent of resection. Surgical intervention controlled seizures in all patients and facilitated the transition out of intensive care. Adverse events related to a prolonged intensive care unit stay included sepsis and respiratory complications. Four patients had worsened neurological function, developing hemiparesis and dysphasia. There was no operative mortality. Conclusions Surgical intervention can successfully control refractory partial status epilepticus, prevent associated morbidity, and decrease intensive care unit stay. Ictal SPECT and PET are valuable in guiding resection.

scholarly journals Necrotizing Fasciitis and Toxic Shock Syndrome fromClostridium septicumfollowing a Term Cesarean Delivery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
B. H. Rimawi ◽  
W. Graybill ◽  
J. Y. Pierce ◽  
M. Kohler ◽  
E. A. Eriksson ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Cesarean Delivery ◽  
Toxic Shock Syndrome ◽  
Surgical Procedure ◽  
Surgical Intervention ◽  
Case Reports ◽  
Obstetrics And Gynecology ◽  
Toxic Shock ◽  
Clostridium Septicum ◽  
Life Threatening

Necrotizing fasciitis and toxic shock syndrome are life-threatening conditions that can be seen after any surgical procedure. With only 4 previous published case reports in the obstetrics and gynecology literature of these two conditions occurring secondary toClostridium septicum, we describe a case of necrotizing fasciitis and toxic shock syndrome occurring after a term cesarean delivery caused by this microorganism, requiring aggressive medical and surgical intervention.

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