Streptococcal toxic shock-like syndrome presenting with hypoglycemia and reversible paralysis.
A patient with pharyngitis progressive to Toxic Shock-Like Syndrome presented to the emergency department with a chief complaint of lower extremity paralysis. This paraplegia was completely reversed with the administration of intravenous glucose. Hypoglycemia-induced paraplegia has not previously been reported in the medical literature, and this report emphasizes the importance of considering low-blood glucose as a potential etiology for patients who present with these neurological symptoms.
Rubino
D M
DM
Department of Internal Medicine, Rush Presbyterian-St Luke's Medical Center, Chicago, IL 60612.
Gorman
S E
SE
Timmons
J A
JA
Leikin
J B
JB
D000328:Adult; D016470:Bacteremia / Q000150:complications; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology*; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D012772:Shock, Septic / Q000150:complications* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications*; D013297:Streptococcus pyogenes