• Internal medicine · Jan 2023

    Case Reports

    Hemodialysis Patient with Streptococcal Toxic Shock Syndrome and Penile Necrosis: A Case Report.

    • Kunihiro Nakai, Yu Mihara, Hiroshi Kado, Yohei Hosokawa, and Tsuguru Hatta.
    • Department of Nephrology, Omihachiman Community Medical Center, Japan.
    • Intern. Med. 2023 Jan 1; 62 (1): 135138135-138.

    AbstractA 72-year-old man on hemodialysis due to diabetic nephropathy presented with a fever and penile pain. Although his physical examination was unremarkable, his general condition deteriorated. Penile necrosis was observed by evening on the same day of presentation, and the patient died the next morning. Blood cultures revealed the presence of Group G Streptococcus, leading to a diagnosis of streptococcal toxic shock syndrome (STSS). Autopsy suggested penile necrosis due to septic shock. STSS in hemodialysis patients with vascular calcification, even in the absence of calciphylaxis, can lead to severe organ damage due to ischemia.

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