Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca

Background: A resurgence of group A ß hemolytic Streptococcus infections such as fasciitis, cellulitis and Strptococcal Toxic Syndrome has been observed recently. Aim: To study the clinical features of patients with group A ß hemolytic Streptococcus infections in a regional hospital. Patients and me...

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Autores principales:	Hasbún A,Sandra, Arias P,Héctor, Tapia R,Roberto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Fasciitis Shock septic Streptococcal infections Streptococcus pyogenes
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100005
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spelling	oai:scielo:S0034-988720000011000052001-01-29Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de TalcaHasbún A,SandraArias P,HéctorTapia R,Roberto Fasciitis Shock septic Streptococcal infections Streptococcus pyogenes Background: A resurgence of group A ß hemolytic Streptococcus infections such as fasciitis, cellulitis and Strptococcal Toxic Syndrome has been observed recently. Aim: To study the clinical features of patients with group A ß hemolytic Streptococcus infections in a regional hospital. Patients and methods: Retrospective review of medical records of patients notified as having a group A ß hemolytic Streptococcus tissue infection, between 1994 and 1999. Results: twenty four patients were notified in the period as having a group A ß hemolytic Streptococcus infection and 18 (13 male, mean age 39 tears old) had tissue involvement. Eleven patients had a fasciitis (61%), six had a cellulitis (33%) and 14 patients (77%), a Streptococcal Toxic Shock Syndrome. Eight patients died during hospital stay. The infection portal of entry was identify in 13 patients (the skin in 10 and intramuscular injections in three). Deceased patients had a longer lapse of disease before admission than patients discharged alive (5(range 3h-7 days) and 2.1 (range 6h-5 days) respectively). In seven patients a quick serological test, designed for pharyngeal infections was performed and it was positive in five. Blood cultures were positive in seven patients and in 11, the germ was isolated from the lesions. Conclusions: As the early diagnosis of group A ß hemolytic Streptococcus tissue infections has a prognostic value, the population should be instructed to recognize early signs and symptoms of these infections (Rev Méd Chile 2000; 128: 1215-19)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.11 20002000-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100005es10.4067/S0034-98872000001100005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Fasciitis Shock septic Streptococcal infections Streptococcus pyogenes
spellingShingle	Fasciitis Shock septic Streptococcal infections Streptococcus pyogenes Hasbún A,Sandra Arias P,Héctor Tapia R,Roberto Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
description	Background: A resurgence of group A ß hemolytic Streptococcus infections such as fasciitis, cellulitis and Strptococcal Toxic Syndrome has been observed recently. Aim: To study the clinical features of patients with group A ß hemolytic Streptococcus infections in a regional hospital. Patients and methods: Retrospective review of medical records of patients notified as having a group A ß hemolytic Streptococcus tissue infection, between 1994 and 1999. Results: twenty four patients were notified in the period as having a group A ß hemolytic Streptococcus infection and 18 (13 male, mean age 39 tears old) had tissue involvement. Eleven patients had a fasciitis (61%), six had a cellulitis (33%) and 14 patients (77%), a Streptococcal Toxic Shock Syndrome. Eight patients died during hospital stay. The infection portal of entry was identify in 13 patients (the skin in 10 and intramuscular injections in three). Deceased patients had a longer lapse of disease before admission than patients discharged alive (5(range 3h-7 days) and 2.1 (range 6h-5 days) respectively). In seven patients a quick serological test, designed for pharyngeal infections was performed and it was positive in five. Blood cultures were positive in seven patients and in 11, the germ was isolated from the lesions. Conclusions: As the early diagnosis of group A ß hemolytic Streptococcus tissue infections has a prognostic value, the population should be instructed to recognize early signs and symptoms of these infections (Rev Méd Chile 2000; 128: 1215-19)
author	Hasbún A,Sandra Arias P,Héctor Tapia R,Roberto
author_facet	Hasbún A,Sandra Arias P,Héctor Tapia R,Roberto
author_sort	Hasbún A,Sandra
title	Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
title_short	Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
title_full	Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
title_fullStr	Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
title_full_unstemmed	Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca
title_sort	infecciones tisulares por streptococcus ß-hemolítico grupo a en hospital regional de talca
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100005
work_keys_str_mv	AT hasbunasandra infeccionestisularesporstreptococcusßhemoliticogrupoaenhospitalregionaldetalca AT ariasphector infeccionestisularesporstreptococcusßhemoliticogrupoaenhospitalregionaldetalca AT tapiarroberto infeccionestisularesporstreptococcusßhemoliticogrupoaenhospitalregionaldetalca
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Infecciones tisulares por Streptococcus ß-hemolítico grupo A en Hospital Regional de Talca

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