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Cirugía Plástica Ibero-Latinoamericana
versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892
Resumo
RODRIGUEZ LORENZO, A.; MIDON MIGUEZ, J. e MARTELO VILLAR, F.. Streptococcal toxic shock syndrome after necrotizing fascitis due to streptococcus pyogenes. Cir. plást. iberolatinoam. [online]. 2007, vol.33, n.4, pp.257-262. ISSN 1989-2055.
Necrotizing fascitis by Streptococcus Pyogenes is a surgical emergency with a high mortality task due to a rapid progression of the illness to shock and organ failure. The challenge is to perform a prompt diagnosis because it is often confused with a minor soft-tissue infection. We present two cases of necrotizing fascitis by Streptococcus Pyogenes who in 24 hours developed a Streptococcal Toxic Shock Syndrome. In addition, we review the pathogenic mechanism, diagnosis and treatment of this syndrome and we discuss its management following literature recommendations.
Palavras-chave : Necrotizing fascitis; streptococcus pyogenes; streptococcal toxic shock syndrome.