Successful Treatment of Streptococcal Toxic Shock Syndrome with Both Diffuse Peritonitis and Necrotizing Fasciitis

Figure 1

Case 1. (a, b) Admission day. Emergent laparotomy findings. The bladder wall and peritoneum showed remarkable redness and edematous changes (a). Left pretibial skin showed erythema and a few small scabs (b). (c) Four days after admission. The deeper section where scabs of the pretibial area were removed showed severe necrotic findings. (d) Two weeks after admission. After several rounds of debridement for NF at the pretibial area.

(a)

(b)

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