title: [Puerperal toxic shock syndrome caused by Group A beta-hemolytic streptococci].
abstract: This case report describes the history of a young female with a streptococcal toxic shock syndrome secondary to a puerperal sepsis. The syndrome was complicated by severe hypotension, reversible kidney dysfunction, adult respiratory distress syndrome, coagulation disturbances, myositis and rhabdomyolysis. This latter complication required amputation of both lower legs.
authors.affiliation: Afd. Interne Geneeskunde, Canisius-Wilhelmina Ziekenhuis, Nijmegen.
authors.forename: A S
authors.initials: AS
authors.lastname: Dofferhoff
authors.forename: J M
authors.initials: JM
authors.lastname: Sporken
mesh_terms: D000328:Adult; D003422:Critical Care; D005260:Female; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology; D011645:Puerperal Infection / Q000150:complications / Q000382:microbiology*; D012772:Shock, Septic / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification*