A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis
Abstract Background Hemolytic streptococcus gangrene is a life threatening invasive bacterial infection. Hemolytic streptococcus gangrene in the danger triangle of the face is too lethal to operate. A case of the confirmed hemolytic streptococcus gangrene in the danger triangle of the face caused by...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-018-1177-9 |
| _version_ | 1818215664918200320 |
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| author | Xiao-ling Jia Janak L. Pathak Jin-fa Tong Ji-mei Su |
| author_facet | Xiao-ling Jia Janak L. Pathak Jin-fa Tong Ji-mei Su |
| author_sort | Xiao-ling Jia |
| collection | DOAJ |
| description | Abstract Background Hemolytic streptococcus gangrene is a life threatening invasive bacterial infection. Hemolytic streptococcus gangrene in the danger triangle of the face is too lethal to operate. A case of the confirmed hemolytic streptococcus gangrene in the danger triangle of the face caused by Group A beta-hemolytic streptococcus (GAS) in 20-months old boy is presented to draw attention of clinicians to this uncommon but frequently fatal infection. Case presentation Previously healthy 20 months old boy suddenly developed paranasal gangrene on the left side of the danger triangle of the face, followed by rapidly progressive thrombocytopenia and hepatitis. The clinical features, liver function, and hematological and serological parameters resembled to a description of streptococcal toxic shock syndrome (STSS). Aggressive antibiotics, substitutional and supportive therapy were conducted without surgical debridement of facial tissues. Prompt diagnosis and aggressive timely treatment completely cured the disease in 28 days. Conclusions The present case report demonstrates prompt diagnosis and timely treatment as a strategy to cure the fatal hemolytic streptococcus gangrene located in too risky body part to operate. |
| first_indexed | 2024-12-12T06:39:41Z |
| format | Article |
| id | doaj.art-236bc6f74c9a409c9e96041c92d603c8 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-12T06:39:41Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-236bc6f74c9a409c9e96041c92d603c82022-12-22T00:34:23ZengBMCBMC Pediatrics1471-24312018-06-011811510.1186/s12887-018-1177-9A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitisXiao-ling Jia0Janak L. Pathak1Jin-fa Tong2Ji-mei Su3Department of Stomatology, Hangzhou Hospital of Traditional Chinese MedicineKey Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatological Hospital of Guangzhou Medical UniversityDepartment of Stomatology, Hangzhou Hospital of Traditional Chinese MedicineDepartment of Stomatology, Children’s Hospital, Zhejiang University School of MedicineAbstract Background Hemolytic streptococcus gangrene is a life threatening invasive bacterial infection. Hemolytic streptococcus gangrene in the danger triangle of the face is too lethal to operate. A case of the confirmed hemolytic streptococcus gangrene in the danger triangle of the face caused by Group A beta-hemolytic streptococcus (GAS) in 20-months old boy is presented to draw attention of clinicians to this uncommon but frequently fatal infection. Case presentation Previously healthy 20 months old boy suddenly developed paranasal gangrene on the left side of the danger triangle of the face, followed by rapidly progressive thrombocytopenia and hepatitis. The clinical features, liver function, and hematological and serological parameters resembled to a description of streptococcal toxic shock syndrome (STSS). Aggressive antibiotics, substitutional and supportive therapy were conducted without surgical debridement of facial tissues. Prompt diagnosis and aggressive timely treatment completely cured the disease in 28 days. Conclusions The present case report demonstrates prompt diagnosis and timely treatment as a strategy to cure the fatal hemolytic streptococcus gangrene located in too risky body part to operate.http://link.springer.com/article/10.1186/s12887-018-1177-9Hemolytic streptococcus gangreneGroup-a beta-hemolytic streptococcusThe danger triangle of the faceThrombocytopeniaHepatitis |
| spellingShingle | Xiao-ling Jia Janak L. Pathak Jin-fa Tong Ji-mei Su A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis BMC Pediatrics Hemolytic streptococcus gangrene Group-a beta-hemolytic streptococcus The danger triangle of the face Thrombocytopenia Hepatitis |
| title | A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| title_full | A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| title_fullStr | A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| title_full_unstemmed | A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| title_short | A case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| title_sort | case report of hemolytic streptococcal gangrene in the danger triangle of the face with thrombocytopenia and hepatitis |
| topic | Hemolytic streptococcus gangrene Group-a beta-hemolytic streptococcus The danger triangle of the face Thrombocytopenia Hepatitis |
| url | http://link.springer.com/article/10.1186/s12887-018-1177-9 |
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