title: [A killer bacteria caused fasciitis with sepsis. Prompt handling saved the patient's life].
abstract: The article consists in a case report of a patient with rapidly progressive pain in the axillary region and deterioration in his clinical condition during the course of a skin infection, found to have pectoral muscle fascitis, and in whom progressive septic shock was accompanied by multiorgan failure. Blood culture yielded streptococci group A type 1 M1. In addition to conventional intensive care, he was treated with antibiotics, inotropic drugs, plasma exchange, and infusion of antithrombin and immunoglobulin. Surgical intervention such as fasciotomy was avoided initially and later proved unnecessary as the patient recovered well.
authors.affiliation: Norrlands Universitetssjukhus, Umeå.
authors.forename: H
authors.initials: H
authors.lastname: Brändström
authors.forename: A
authors.initials: A
authors.lastname: Rydvall
authors.forename: B
authors.initials: B
authors.lastname: Stegmayr
authors.forename: J
authors.initials: J
authors.lastname: Söderberg-Svanström
authors.forename: A M
authors.initials: AM
authors.lastname: Wikdahl
mesh_terms: D000328:Adult; D001365:Axilla; D003422:Critical Care; D004630:Emergencies; D019115:Fasciitis, Necrotizing / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000473:pathology / Q000601:surgery; D012772:Shock, Septic / Q000382:microbiology / Q000628:therapy*
vernacular_title: Mördarbakterie orsakade fascit med sepsis. Snabb handläggning räddade patientens liv.