ISSN:
1432-1238
Keywords:
Key words Streptococcal infections
;
Septic shock
;
Toxemia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Absract Background: Streptococcal toxic shock-like syndrome is a life-threatening illness which is on the increase. In early reports, only group A β-hemolytic streptococcus was associated with the disease, but recent evidence indicates non-A streptococci groups are also involved. Observations: We describe the first reported case of streptococcal toxic shock-like syndrome caused by a group C strain in Italy. Prior to the disease, the patient, a 46-year-old man, had been in good health and had only a 3-day history of sore throat, low grade fever, vomiting, diarrhea, and myalgia before admission. Initially, diagnosis was based only on clinical evidence: shock, multiorgan failure, profound hypothermia, and no apparent signs of infection. Toxic cardiomyopathy was also present. Results: Positive throat swab and blood culture confirmed a “definite case” following established criteria. Anamnesis showed a diagnosis of monoclonal gammopathy. Antibiotic treatment was begun immediately on admission of the patient, who was discharged 20 days later in good health. Conclusions: This case illustrates how an early diagnosis and prompt antibiotic therapy can determine a more favorable outcome.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s001340050200
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