Streptococcal toxic shock syndrome: A case report Streptokokal toksi̇k şok sendromu: Bi̇r olgu raporu
Mikrobiyoloji Bulteni, cilt.37, sa.4, ss.309-312, 2003 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 4
- Basım Tarihi: 2003
- Dergi Adı: Mikrobiyoloji Bulteni
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.309-312
- Anahtar Kelimeler: Streptococcus, Toxic shock syndrome
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Streptococcal toxic shock syndrome (STSS) is the most severe form of invasive infections caused by group A streptococci. In this report, a 36-years-old man who was admitted to our clinic with the complaints of fever, rash, skin lesions, abdominal pain, weakness and anuria for 2 days, has been presented. His body temperature was 39.5 °C and blood pressure was 50/20 mmHg. In physical examination; diffuse erythematous rash on the body, cellulitis on left leg and foot, fungal lesions on the toes, and abdominal tenderness were noted. Laboratory results revealed a drammatic increase in leukocyte count, increased sedimentation rate, elevated blood urea nitrogen, creatinin, liver enzymes and bilirubin levels. Group A streptococci were isolated from the blood culture of the patient. Despite supportive (intravenous saline, dopamine) and antibiotic (clindamycin-ceftriaxone combination) therapies, adult respiratory distress syndrome has developed in two days, and he died on the third day. This case was presented to draw attention to STSS, which was a rare clinical entity with rapid progression to mortality despite aggressive medical therapy.