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Septic shock, life-threatening due to staphylococcus aureus

Báo Nhân dânBáo Nhân dân28/02/2025

NDO - The patient was hospitalized in a state of toxic shock due to Staphylococcus aureus bacteria after many days of acne treatment. Doctors said the patient's prognosis was poor.


On February 18, NTM, 15 years old, from Bac Ninh , began to experience swelling in the right eye socket, accompanied by a mild fever (38.2 degrees Celsius), difficulty breathing, nausea and photophobia. However, the family thought he just had a common cold so they did not take him to the doctor.

After a day, the swelling in the right eye socket spread from the forehead to the entire temple of the right side of the face. On the morning of February 20, M began to show signs of impaired consciousness and delirium, causing the family to decide to take him to the hospital for examination.

Here, the results of a chest CT scan and brain CT scan showed brain damage, and the child was immediately transferred to the Central Hospital for Tropical Diseases for further treatment.

At 8:30 p.m. on February 20, M. was admitted to the Pediatrics Department of the Central Hospital for Tropical Diseases in a state of respiratory failure and hypotension. Blood gas tests showed severe metabolic acidosis. The patient was diagnosed with toxic shock caused by Staphylococcus aureus and was transferred to the Intensive Care Center.

Here, M. continued to be in a state of septic shock, on a ventilator and continuous blood filtration. Blood cultures tested positive for Staphylococcus aureus.

Doctor Nguyen Thi Huan, Intensive Care Center said: “Through clinical examination, we discovered that on the right side of M.’s face there were many pimples that had been treated with an unknown type of medicine, with inflammation spreading to the entire right half of the face and eye socket. The patient was in rapidly progressing septic shock.

The CT scan of the brain showed cerebral edema, and the chest CT scan showed scattered nodules in both lungs. The symptoms were consistent with a diagnosis of staphylococcal toxic shock. However, after a period of intensive treatment, M's response to medication was very poor, causing the shock to become more and more severe. The prognosis is very poor."

Staphylococcus aureus, also known as Staphylococcus aureus, is a bacteria that can be found in the nostrils and on the skin of about 30% of healthy people without causing any problems.

However, in some favorable cases, when bacteria invade and develop, they can cause serious and life-threatening conditions, especially for people with underlying diseases, weakened immune systems or young children with incomplete immune systems.

For children in puberty, acne often appears more and this can be one of the causes of increased risk of staphylococcus aureus infection at this age, because skin lesions caused by acne create favorable opportunities for bacteria to invade and develop.

To prevent dangerous bacterial infections such as Staphylococcus aureus, especially for teenagers, according to Dr. Huan, the first thing you need to pay attention to is proper skin care: Proper facial hygiene is very important, especially when you have acne. Avoid squeezing acne or touching your face with unclean hands to limit bacteria from entering your body. You need to gently wash your face with suitable products and avoid using acne medications of unknown origin.

If there are signs of skin infection, such as acne, swelling, redness, it is necessary to treat promptly according to the doctor's instructions. Do not arbitrarily use or apply medicine without a doctor's prescription.

Patients need to see a doctor if they have unusual symptoms: When symptoms such as swelling, pain, fever, difficulty breathing, impaired consciousness, nausea, or skin rash appear, they need to go to the hospital for timely diagnosis and treatment. These signs can be a warning of severe infection or septic shock.



Source: https://nhandan.vn/soc-nhiem-khuane-nguy-kich-tinh-mang-do-mac-tu-cau-vang-post862252.html

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