Irish medical journal · 2026
When Sepsis Kills: A Fatal Cascade of Invasive Group A Streptococcal Sepsis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Brulinska N K, Harb M, Kiely P
Аннотация
PRESENTATION: A previously healthy 22-year-old woman presented with right groin pain, unilateral leg swelling, and dyspnoea following recent infection and minor trauma. She was hypotensive and tachycardic with a painful, mottled limb and oxygen saturations of 91%.
DIAGNOSIS: Investigations demonstrated lactic acidosis, coagulopathy, pulmonary emboli, visceral infarcts, and necrotising soft-tissue infection. Cultures confirmed Streptococcus pyogenes.
TREATMENT: Despite antibiotics, emergency surgery, and advanced life support, the patient died of multiorgan failure.
DISCUSSION: iGAS infection can mimic thromboembolic disease and requires urgent recognition.
DIAGNOSIS: Investigations demonstrated lactic acidosis, coagulopathy, pulmonary emboli, visceral infarcts, and necrotising soft-tissue infection. Cultures confirmed Streptococcus pyogenes.
TREATMENT: Despite antibiotics, emergency surgery, and advanced life support, the patient died of multiorgan failure.
DISCUSSION: iGAS infection can mimic thromboembolic disease and requires urgent recognition.