title: Streptococcal toxic shock-like syndrome presenting with hypoglycemia and reversible paralysis.
abstract: 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.
authors: Department of Internal Medicine, Rush Presbyterian-St Luke's Medical Center, Chicago, IL 60612.
authors: D M
authors: DM
authors: Rubino
authors: S E
authors: SE
authors: Gorman
authors: J A
authors: JA
authors: Timmons
authors: J B
authors: JB
authors: Leikin
mesh_terms: 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