title: [Necrotising fasciitis caused by streptococcal toxic shock syndrome].
abstract: Between 1994 and 1997, sixteen patients suffering from necrotising soft tissue infection were treated at the burn centre of the Division of Reconstructive Surgery, University of Zurich. The case of a 47 year old man is presented: He suffered from a necrotising fasciitis caused by Streptococcal induced Toxic Shock Syndrome (STSS). This example emphasizes the necessity of early diagnosis, priority of surgical intervention, and the antibiotic strategy. Necrotising fasciitis is a serious disease, caused by a variety of bacteria, which shows a high mortality rate, and its frequency was increasing over the last years.
authors.affiliation: Abteilung für Brandverletzte der Klinik für Wiederherstellungschirurgie, Universitäts-Spital Zürich, Switzerland. volker.wedler@chi.usz.ch
authors.forename: V
authors.initials: V
authors.lastname: Wedler
authors.forename: C
authors.initials: C
authors.lastname: Meuli-Simmen
authors.forename: W
authors.initials: W
authors.lastname: Künzi
authors.forename: P
authors.initials: P
authors.lastname: Giovanoli
authors.forename: V E
authors.initials: VE
authors.lastname: Meyer
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents; D002423:Cause of Death; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012772:Shock, Septic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D016038:Skin Transplantation; D013290:Streptococcal Infections / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D013297:Streptococcus pyogenes / Q000187:drug effects; D013524:Surgical Flaps; D015996:Survival Rate
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Nekrotisierende Fasziitis - durch Streptokokken induziertes Toxisches Schock-Syndrom.