title: [Toxic shock-like syndrome with Streptococcus pyogenes in a pleural effusion].
abstract: A 58-year-old woman was admitted to the hospital because of fever and hypotension. That night, shock developed. On the second hospital day, a chest roentgenogram showed retention of pleural fluid and the group A-beta hemolytic organism Streptococcus pyogenes was detected in the effusion. The toxic shock-like syndrome was diagnosed. The patient recovered with artificial ventilation, administration of antibiotics, and blood purification. In this patient, the type of pyrogenic exotoxin was B + C.
authors: First Department of Medicine, Obihiro Kosei Hospital, Japan.
authors: K
authors: K
authors: Takamura
authors: K
authors: K
authors: Nakanishi
authors: M
authors: M
authors: Yamamoto
authors: S
authors: S
authors: Inaba
authors: T
authors: T
authors: Yoshikawa
authors: T
authors: T
authors: Terai
mesh_terms: D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008875:Middle Aged; D010996:Pleural Effusion / Q000209:etiology / Q000382:microbiology*; D012772:Shock, Septic / Q000150:complications / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*