A 41-year-old male received acupuncture in the right shoulder for the sake of @entity4841 . Three days after acupuncture he was admitted due to severe epigastralgia. Erythematous change and swelling were observed around the right shoulder. A study by magnetic resonance showed an increased signal intensity in a portion of the right subscapular muscle. Four hours after admission he became @entity551 . The erythematous and @entity39 change in the right shoulder skin rapidly spread. Excisional debridement in the right lateral chest wall was immediately done. However, the @entity1 died one day after admission despite administration of a high-dose @entity869 and other supportive therapies. Bacteriological and histological examinations confirmed severe streptococcal @entity5442 . This is a case report of @entity137 probably caused by acupuncture.

[A fatal case of streptococcal XXXX probably caused by acupuncture].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxic shock-like syndrome'] @entity5442 :: ('MESH:D009220', 'Disease') :: ['myositis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotic'] @entity869 :: ('MESH:D000667', 'Chemical') :: ['ampicillin'] @entity4841 :: ('MESH:D018771', 'Disease') :: ['arthralgia'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotensive']
@entity137 :: (MESH:D064420,Disease) :: ['toxic shock-like syndrome']
