A CASE OF TOXIC SHOCK LIKE SYNDROME PRESENTED WITH PERITONEAL SIGN

2004 ◽  
Vol 65 (12) ◽  
pp. 3125-3128 ◽  
Author(s):  
Toru HORIE ◽  
Kazutoshi TAKAGI ◽  
Hitoshi NAGATA ◽  
Nobumi TAGAYA ◽  
Keiichi KUBOTA
Keyword(s):  
Toxic Shock ◽  
Peritoneal Sign

Veno-Venous Ecmo For Toxic Shock Syndrome In A Former Preterm Neonate

2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
A Debeer ◽  
B Meyns ◽  
K Allegaert ◽  
C Vanhole
Keyword(s):  
Toxic Shock Syndrome ◽  
Preterm Neonate ◽  
Toxic Shock

Veno-Venous Ecmo For Toxic Shock Syndrome In A Former Preterm Neonate

2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
A Debeer ◽  
B Meyns ◽  
K Allegaert ◽  
C Vanhole
Keyword(s):  
Toxic Shock Syndrome ◽  
Preterm Neonate ◽  
Toxic Shock

Association of Characteristics of Tampon Use with Menstrual Toxic Shock Syndrome in France

2020 ◽  
Author(s):  
Amaury Billon ◽  
Marie-Paule Gustin ◽  
Anne Tristan ◽  
Thomas Bénet ◽  
Julien Berthiller ◽  
...  
Keyword(s):  
Toxic Shock Syndrome ◽  
Toxic Shock

An Emerging Infection: Streptococcal Toxic Shock-Like Syndrome Caused By Group B Streptococcus (GBS), Streptococcus Agalactiae

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S140-S140
Author(s):  
F Rajack ◽  
A Afsari ◽  
A M Ramadan ◽  
T J Naab
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Streptococcus Agalactiae ◽  
Group A Streptococcus ◽  
Multiorgan Failure ◽  
Group B Streptococcus ◽  
Stage Iii ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Group B

Abstract Introduction/Objective Streptococcus agalactiae, Group B Streptococcus (GBS), is a major cause of neonatal sepsis and infections in pregnant women. However, incidence of invasive GBS infections has more than doubled in the last two decades with highest risk in adults 65 years or older. Other risk factors are diabetes, malignancy, and immunocompromised state. Bacteremia and skin soft tissue infections are the most common invasive infections in nonpregnant adults. Rarely GBS infection has a fulminating pyrogenic exotoxin-mediated course characterized by acute onset, multiorgan failure, shock, and sometimes death, referred to as toxic shock-like syndrome. Methods A 77-year-old hypertensive female with uncontrolled type 2 diabetes mellitus and a history of bilateral foot ulcers presented to the hospital in probable septic shock. Clinical diagnosis of necrotizing fasciitis was made and she underwent bilateral lower limb amputations. Results Grossly soft tissue appeared gray. Microscopically fascia was necrotic without neutrophils present and Gram stain revealed sheets of Gram positive cocci. These findings reflected histopathologic Stage III necrotizing fasciitis, which is associated with 47% mortality. Autopsy showed a similar histology of Stage III necrotizing fasciitis involving the surgical stump. Erythema and desquamation of the upper limbs bilaterally and multi-organ failure met the clinical picture of Streptococcal Toxic Shock Syndrome (STSS) and fulfilled the criteria for TSS due to Group A Streptococcus (GAS), defined by The Working Group on Severe Streptococcal Infections. Conclusion Group B Streptococcal Toxic Shock-Like Syndrome may have a similar outcome to STSS caused by GAS and other pathogens and, in limited studies, mortality has been 30% or greater.

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