據聞..Streptococcal Toxic Shock Syndrome (STSS)定義極端嚴格..

研究了一下..還真的很嚴格..(見圖)..

首先..必須從無菌的地方培養出group A Streptocci..


還要符合一大串臨床病徵..包括

- Hypotension

- 兩項以上的器官功能異常 (與severe sepsis的條件相似)

(1) Renal impairment

(2) Coagulopathy

(3) Liver impairment

(4) ARDS

(5) Generalized erythematous macular rash

(6) Soft tissue necrosis

我們的病患符合了第一大項 (培養出Gr A Streptococci)與hypotension及necrotizing fasciitis..還差一項..(希望她不會符合阿)..

Adapted from Harrison's Principles of Internal Medicine 16th edition