Acute renal failure in a young male with cellulitis in the lower leg

Acute renal failure in a young male with cellulitis in the lower leg

An Med Interna. 2008 Jun

Rodríguez Lorenzo A, Martelo Villar F.
Servicio de Cirugía Plástica y Quemados, Complejo Hospitalario Universitario Juan Canalejo, A Coruña, España.

Necrotizing fascitiis due to Streptococcus Pyogenes has a high mortality rate. Detection of the infection before it developes to the streptococcal toxic shock syndrome is quite challenging and its one of the main goals of its management because at this final stage the treatment is in most of the cases ineffective. In a secuence of events of the progression of the infection to shock, renal failure occurs before hipotension very often. We report the case of a 38-year-old patient affected by a fulminant necrotizing fascitiis by Streptococcus Pyogenes which presented at admission with lower leg cellulitis and acute renal failure.

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