{"id":2506,"date":"2009-03-08T12:37:51","date_gmt":"2009-03-08T12:37:51","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/inftssnf\/"},"modified":"2025-05-14T19:10:22","modified_gmt":"2025-05-14T19:10:22","slug":"inftssnf","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/inftssnf\/","title":{"rendered":"Definici\u00f3n de Caso del S\u00edndrome de Shock T\u00f3xico Estreptoc\u00f3cico (SST Estreptoc\u00f3cico) y Fascitis Necrotizante"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p>I. SST Estreptoc\u00f3cico<\/p>\n<ol style=\"list-style-type: upper-alpha;\">\n<li>Aislamiento de <em>Streptococcus <\/em>del grupo A\n<ol style=\"list-style-type: decimal;\">\n<li>A partir de un sitio est\u00e9ril<\/li>\n<li>A partir de un sitio del cuerpo no est\u00e9ril<\/li>\n<\/ol>\n<\/li>\n<li>Signos cl\u00ednicos de severidad\n<ol style=\"list-style-type: decimal;\">\n<li>Hipotensi\u00f3n<\/li>\n<li>Anormalidades cl\u00ednicas y de laboratorio (requiere 2 o m\u00e1s de los siguientes):<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol style=\"list-style-type: lower-alpha;\">\n<li>Deterioro renal<\/li>\n<li>Coagulopat\u00eda<\/li>\n<li>Anormalidades hep\u00e1ticas<\/li>\n<li>S\u00edndrome de distr\u00e9s respiratorio agudo<\/li>\n<li>Necrosis tisular extensa, como la fascitis necrotizante<\/li>\n<li>Rash eritematoso<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><!--more--><\/p>\n<p>Caso Definitivo = A1 + B (1+2)<br \/>\nCaso Probable = A2 + B (1+2)<\/p>\n<p>&nbsp;<\/p>\n<p>II. Fascitis necrotizante<\/p>\n<ol style=\"list-style-type: upper-alpha;\">\n<li style=\"font-weight: 400;\">Caso definitivo<\/li>\n<\/ol>\n<ol>\n<li>Necrosis de tejidos blandos con compromiso de la fascia<\/li>\n<\/ol>\n<p style=\"font-weight: 400; padding-left: 80px;\">M\u00c1S<\/p>\n<p style=\"padding-left: 40px;\">2. Enfermedad sist\u00e9mica severa, incluyendo uno o m\u00e1s de los siguientes:<\/p>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li style=\"list-style-type: none;\">\n<ol style=\"list-style-type: lower-alpha;\">\n<li>Muerte<\/li>\n<li>Shock (presi\u00f3n arterial sist\u00f3lica &lt;90 mmHg).<\/li>\n<li>Coagulopat\u00eda intravascular diseminada<\/li>\n<li>Fallo de sistemas org\u00e1nicos\n<ol style=\"list-style-type: lower-roman;\">\n<li>fallo respiratorio<\/li>\n<li>fallo hep\u00e1tico<\/li>\n<li>fallo renal<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p style=\"padding-left: 40px;\">3. Aislamiento del <em>Streptococcus <\/em>grupo A, a partir de un sitio del organismo normalmente est\u00e9ril<\/p>\n<p>B. Caso Sospechado<\/p>\n<ul>\n<li>1+2 y confirmaci\u00f3n serol\u00f3gica de infecci\u00f3n estreptoc\u00f3cica del grupo A con una elevaci\u00f3n de 4 veces:<\/li>\n<\/ul>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol style=\"list-style-type: lower-alpha;\">\n<li>Estreptolisina O<\/li>\n<li>DNasa B<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ul>\n<li>1+2 y confirmaci\u00f3n histol\u00f3gica:<\/li>\n<\/ul>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol style=\"list-style-type: lower-alpha;\">\n<li style=\"font-weight: 400;\">Cocos Gram positivos en un tejido blando infectado necr\u00f3tico<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">* El s\u00edndrome de shock t\u00f3xico estreptoc\u00f3cico (SST estreptoc\u00f3cico) es definido como cualquier infecci\u00f3n estreptoc\u00f3cica del grupo A asociada con shock de temprano comienzo y fallo org\u00e1nico.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Stevens DL. Streptococcal toxic-shock syndrome: spectrum of disease, pathogenesis, and new concepts in treatment. Emerg Infect Dis. 1995 Jul-Sep;1(3):69-78.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8903167\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Stevens DL. The toxic shock syndromes. Infect Dis Clin North Am. 1996 Dec;10(4):727-46.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8958166\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Feb 23, 2006<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>I. SST Estreptoc\u00f3cico Aislamiento de Streptococcus del grupo A A partir de un sitio est\u00e9ril A partir de un sitio del cuerpo no est\u00e9ril Signos cl\u00ednicos de severidad Hipotensi\u00f3n Anormalidades cl\u00ednicas y de laboratorio (requiere 2 o m\u00e1s de los siguientes): Deterioro renal Coagulopat\u00eda Anormalidades hep\u00e1ticas S\u00edndrome de distr\u00e9s respiratorio agudo Necrosis tisular extensa, como [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[39],"tags":[316,315,314,313,1556,1555,1344,1554,1553,614,5,1552,4,1551,1550,1557],"class_list":["post-2506","post","type-post","status-publish","format-standard","hentry","category-infetious-disease","tag-case","tag-caso","tag-definicion","tag-definition","tag-estreptococico","tag-fasciitis","tag-infectious","tag-necrotizante","tag-necrotizing","tag-shock","tag-sindrome","tag-streptococcal","tag-syndrome","tag-toxic","tag-toxico","tag-tss"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2506","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2506"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2506\/revisions"}],"predecessor-version":[{"id":9144,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2506\/revisions\/9144"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2506"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2506"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2506"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}