Fulminant streptococcal toxic shock syndrome

Zavala, S.; Arias, M.; Legua, P.

dc.contributor.author	Zavala, S.
dc.contributor.author	Arias, M.
dc.contributor.author	Legua, P.
dc.date.accessioned	2018-08-10T20:11:15Z
dc.date.available	2018-08-10T20:11:15Z
dc.date.issued	2018
dc.identifier.uri	https://hdl.handle.net/20.500.12866/3771
dc.description.abstract	We present a case of a previously healthy 37-year-old male who developed fever, nausea, vomiting, diarrhoea, and hypovolaemia. Within 5.5 h he presented with tachycardia, tachypnoea, became hypotensive and displayed a diffuse erythematous rash. In the following hours he developed persistent hypotension, acute respiratory distress syndrome, liver failure, kidney failure and disseminated intravascular coagulation. A diagnosis of toxic shock syndrome was made, but despite antibiotic therapy, immunoglobulin administration, and supportive measures, the patient died 50 h after presentation. Streptococcus pyogenes was isolated from blood cultures.	en_US
dc.language.iso	eng
dc.publisher	Royal College of Physicians of Edinburgh
dc.relation.ispartofseries	Journal of the Royal College of Physicians of Edinburgh
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Streptoccoccus pyogenes	en_US
dc.subject	Streptococcal pyrogenic exotoxin A	en_US
dc.subject	Intravenous immunoglobulin	en_US
dc.subject	Multi-organ failure	en_US
dc.subject	Superantigen	en_US
dc.subject	Toxic shock syndrome	en_US
dc.title	Fulminant streptococcal toxic shock syndrome	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.4997/JRCPE.2018.107
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.02.000
dc.relation.issn	2042-8189