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1/5. mediastinitis from odontogenic infection. Report of three cases and review of the literature.

    Descending necrotizing mediastinitis secondary to dental infection occurs infrequently. The diagnosis of this condition is difficult and often a surgical approach is delayed due to initial clinical improvement after antimicrobial therapy. An incorrect evaluation of this apparent improvement may result in fatal mediastinitis and septic shock. We report 3 cases of mediastinitis of odontogenic origin. In one patient, a nonproductive cough was the first sign of thoracic involvement. A total of 25 similar cases of mediastinitis from odontogenic infection have been collected from the literature in the last 15 years. Some features have to be emphasized, such as the polymicrobial flora, the higher prevalence in males, and the high mortality rate of approximately 44%.
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ranking = 1
keywords = shock
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2/5. Purulent osteomyelitis associated with empyema and toxic shock syndrome.

    This is a report on purulent osteomyelitis associated with empyema and toxic shock syndrome. In china, this syndrome is still very rare. A review of recent research on toxic shock syndrome is included.
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ranking = 235.94759764753
keywords = toxic shock syndrome, shock syndrome, toxic shock, shock
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3/5. The presentation and complications of odontogenic septic shock. Report of a case.

    Although most odontogenic infections spread locally to adjacent fascial spaces, usually contiguous with the offending odontogenic pathosis, occasionally such an infection can spread rapidly across the midline and appear on the opposite side of the face and neck. Debilitated chronic alcohol abusers who are nutritionally deficient are more likely to develop serious life-threatening infections, either through serious airway involvement as seen in ludwig's angina or manifest as a gram-negative septicemia with life-threatening shock and even cardiac arrest, than the usual dental patient with cellulitis. Early recognition through a high index of suspicion and vigorous monitoring will pick up the initial manifestation of toxic shock, as noted in this case report.
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ranking = 12.80357433459
keywords = toxic shock, shock
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4/5. Serious suppurative group A beta-hemolytic streptococcal infection in previously well children: report of six cases.

    Recently, among adults and children, an increase in the incidence of invasive disease caused by group A beta hemolytic streptococcus (GABHS) has been noted. From December 6, 1981 to January 19, 1991, we experienced six cases of serious infection caused by GABHS in previously well children. Among them, five cases were found in recent two years. The clinical manifestations were varied. One child had sepsis, one had streptococcal toxic shock-like syndrome, two had pyogenic arthritis, and the other two newborn infants had empyema and cellulitis associated with sepsis. early diagnosis and treatment with appropriate antibiotic are necessary for a good outcome. In addition, empyema and pyoarthritis of the hip often need surgical drainage.
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ranking = 7.8035743345902
keywords = toxic shock, shock
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5/5. pyomyositis with toxic shock syndrome presenting as back pain and fever: a case report and literature review.

    pyomyositis is an uncommon cause of musculoskeletal pain in children and adolescents living in temperate climates. Toxic shock syndrome is a life-threatening potential complication of pyomyositis. We report a case of acute hematogenous pyomyositis, complicated by toxic shock syndrome, and review the pertinent literature.
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ranking = 206.66804242102
keywords = toxic shock syndrome, shock syndrome, toxic shock, shock
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