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10.1080/17843286.2018.1539634 http://scihub22266oqcxt.onion/10.1080/17843286.2018.1539634 30369302!ä!30369302 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acta+Clin+Belg 2019 ; 74 (6): 430-434 Nephropedia Template TP {{tp|p=30369302|t=2019. Streptococcal toxic shock syndrome in a returning traveller |pdf=|usr=}}{{30369302}} gab.com Text Streptococcal toxic shock syndrome in a returning traveller JO: Acta Clin Belg http://www.kidney.de/pget.php?&tw=1&pmid=30369302 #FOAvip Background: A patient presenting with fever and purpura after a stay in the tropics tempts a physician to make a differential diagnosis mainly focusing on imported diseases. Although the importance of considering a tropical disease is obvious, the fact that cosmopolitan infections account for one third of the cases in a febrile returning traveler must not be overseen. Toxic Shock Syndrome is amongst the most notorious diseases due to the high mortality when inappropriately managed and the association with necrotizing fasciitis. Methods : We present a 60-year old female with fever, shock syndrome and progressive appearance of painful purpura on the lower legs after a 2-week holiday in Zanzibar. Results : The patient was diagnosed with Streptococcal Toxic Shock Syndrome. Treatment focusing on aggressive fluid resuscitation, prompt administration of antibiotics (ceftriaxon, doxycycline and one dose of amikacin) and adjunctive treatment by clindamycin and immunoglobulin was initiated. She was also immediately taken into surgery for a bilateral fasciotomy and surgical exploration of the lower legs. Histology appeared compatible with purpura fulminans, thereby excluding necrotizing fasciitis. No source of infection could be identified. Conclusion: Toxic Shock Syndrome remains a challenging diagnosis and even more in a returning traveler with an extensive differential diagnosis containing both tropical and cosmopolitan diseases. Cornerstones for the treatment of Streptococcal Toxic Shock Syndrome are abrupt administration of antimicrobial therapy comprising beta-lactam antibiotics and clindamycin and surgical exploration to apply source control when indicated. Twit Text FOAVip Streptococcal toxic shock syndrome in a returning traveller ????Acta Clin Belg http://www.kidney.de/pget.php?&tw=1&pmid=30369302 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=30369302 #FOAvip English Wikipedia <ref>{{Cite pmid|30369302}}</ref> Streptococcal toxic shock syndrome in a returning traveller #MMPMID30369302 Note S; Soentjens P; Van Laer M; Meert P; Vanbrabant P Acta Clin Belg 2019[Dec]; 74 (6): 430-434 PMID30369302show ga Background: A patient presenting with fever and purpura after a stay in the tropics tempts a physician to make a differential diagnosis mainly focusing on imported diseases. Although the importance of considering a tropical disease is obvious, the fact that cosmopolitan infections account for one third of the cases in a febrile returning traveler must not be overseen. Toxic Shock Syndrome is amongst the most notorious diseases due to the high mortality when inappropriately managed and the association with necrotizing fasciitis. Methods : We present a 60-year old female with fever, shock syndrome and progressive appearance of painful purpura on the lower legs after a 2-week holiday in Zanzibar. Results : The patient was diagnosed with Streptococcal Toxic Shock Syndrome. Treatment focusing on aggressive fluid resuscitation, prompt administration of antibiotics (ceftriaxon, doxycycline and one dose of amikacin) and adjunctive treatment by clindamycin and immunoglobulin was initiated. She was also immediately taken into surgery for a bilateral fasciotomy and surgical exploration of the lower legs. Histology appeared compatible with purpura fulminans, thereby excluding necrotizing fasciitis. No source of infection could be identified. Conclusion: Toxic Shock Syndrome remains a challenging diagnosis and even more in a returning traveler with an extensive differential diagnosis containing both tropical and cosmopolitan diseases. Cornerstones for the treatment of Streptococcal Toxic Shock Syndrome are abrupt administration of antimicrobial therapy comprising beta-lactam antibiotics and clindamycin and surgical exploration to apply source control when indicated. |*Fasciitis, Necrotizing/complications/diagnosis/therapy[MESH] |*Shock, Septic/diagnosis/etiology/therapy[MESH] |*Streptococcal Infections/diagnosis/physiopathology/therapy[MESH] |Anti-Bacterial Agents/*administration & dosage/classification[MESH] |Communicable Diseases, Imported/diagnosis/etiology[MESH] |Diagnosis, Differential[MESH] |Female[MESH] |Fluid Therapy/*methods[MESH] |Humans[MESH] |Middle Aged[MESH] |Patient Care Management/methods[MESH] |Purpura Fulminans/diagnosis/therapy[MESH] |Streptococcus pyogenes/*isolation & purification[MESH] |Surgical Procedures, Operative/methods[MESH] |Travel-Related Illness[MESH]Streptococcal toxic shock syndrome in a returning traveller (epmc).pdf DeepDyve Pubget Overpricing