그룹 A 연쇄구균 폐렴에 동반된 독성쇼크증후군 1예
A Case of Streptococcal Toxic Shock Syndrome Caused by Group A Streptococcus Pneumonia
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초록
연쇄구균에 의한 독성쇼크증후군은 GAS, 즉 Streptococcuspyogenes의 침습적 감염에 동반되어 쇼크와 다발성 장기부전을 유발하는 치명적인 질환이다. 저자들은 국내 최초로GAS에 의한 폐렴에서 동반된 TSS를 경험하였기에 보고하는 바이며 내원 시부터 저혈압 및 장기부전을 보이는 폐렴환자에서 GAS에 의한 폐렴 및 연쇄구균 TSS의 가능성을 염두에 두어야 한다고 강조하는 바이다.
Abstract
Streptococcal toxic shock syndrome (TSS) is characterized clinically by shock and multiple organ failure, combined with invasive group A streptococcus (GAS) infection. Invasive GAS infection declined with the introduction of modern antibiotics, but has recently arisen again globally with severe presentations like TSS. Cases of streptococcal TSS have been reported in Korea since the 1990s and its prevalence may increase. We report the first case of GAS pneumonia initially presenting as streptococcal TSS, as a warning that this potentially fatal illness requires an early diagnosis and prompt treatment when patients with pneumonia develop shock and multiple organ failure. (
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