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Dtsch. Med. Wochenschr. · Jul 2024
Case Reports[Invasive Streptococcal infections - an interdisciplinary challenge].
- Markus Wörnle.
- Zentrale Notaufnahme Klinikum Innenstadt, LMU Klinikum, Ludwig-Maximilians-Universität München.
- Dtsch. Med. Wochenschr. 2024 Jul 1; 149 (13): 771774771-774.
History And Clinical Findings We report on a 34-year-old female patient and a 50-year-old male patient, both of whom were admitted to our emergency department with severe septic conditions.Medical Examinations Both patients were resuscitated and exhibited clinical as well as laboratory evidence of a severe bacterial infection.Diagnosis Both patients had an invasive infection with Group A Streptococcus. The female patient had a Streptococcal sepsis with severe pneumonia, while the male patient had a Streptococcus-induced necrotizing fasciitis of the upper extremity.Therapy And Course While the female patient unfortunately died in the emergency department`s resuscitation room despite all intensive medical treatments, the male patient survived after prompt surgical therapy and an extended stay in the intensive care unit.Conclusion Patients with invasive infections caused by Group A Streptococcus can deteriorate rapidly clinically. Prompt diagnosis and initiation of often interdisciplinary treatment are important. Nevertheless, these conditions can be fatal.Thieme. All rights reserved.
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