Streptococcal toxic shock syndrome revealed by a peritonitis. Case report and review of the literature.
Details
Serval ID
serval:BIB_7417F1ED311D
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Streptococcal toxic shock syndrome revealed by a peritonitis. Case report and review of the literature.
Journal
Swiss Surgery
ISSN
0007-1323
ISSN-L
1023-9332
Publication state
Published
Issued date
2001
Volume
7
Number
1
Pages
25-27
Language
english
Notes
DA - 20010307 LA - eng PT - Case Reports PT - Journal Article PT - Review RN - 0 (Anti-Bacterial Agents) SB - IM
Abstract
Group A streptococcus (GAS) or Streptococcus pyogenes cause a variety of life-threatening infectious complications including necrotizing fasciitis, purpura fulminans and streptococcal toxic shock syndrome (STSS). Exotoxins that act as superantigens are felt to be responsible for STSS. These exotoxins are highly destructive to skin, muscle and soft tissue. This syndrome has a rapid and fulminant course with frequently fatal outcome. GAS remains sensitive to penicillin but in serious infection a combination of clindamycin and ceftriaxone or meropenemum is recommended. Several studies have shown that mortality was dramatically reduced in STSS patients treated with immunoglobulin G given intravenously (IVIG). Early recognition of this most rapidly progressive infection and prompt operative debridement are required for successful management. This report presents a female patient at two month post-partum with a peritonitis and multi-organ failure.
Keywords
Adult, Anti-Bacterial Agents, Debridement, Drug Therapy, Combination/therapeutic use, Female, Humans, Peritonitis/diagnosis, Peritonitis/mortality, Shock, Septic/diagnosis, Shock, Septic/mortality, Streptococcal Infections/diagnosis, Streptococcal Infections/mortality, Streptococcus pyogenes, Survival Rate
Pubmed
Create date
18/02/2008 14:08
Last modification date
20/08/2019 15:31