title: Streptococcal toxic shock syndrome from a puncture wound to the foot.
abstract: Puncture wounds to the foot are a common occurrence. If treated properly, the majority will be resolved without major complications. Toxic shock syndrome and streptococcal toxic shock-like syndrome are devastating complications of some staphylococcal and streptococcal infections. This paper discusses the similarities and differences between the two toxic states, reviews the pathophysiology, and presents a case report of near-fatal streptococcal toxic shock-like syndrome secondary to a puncture wound of the foot.
authors.affiliation: Department of Podiatric Surgery, Cambridge Hospital, Cambridge, Massachusetts, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Miller
authors.forename: R L
authors.initials: RL
authors.lastname: Nath
authors.forename: J
authors.initials: J
authors.lastname: Stoughton
authors.forename: B B
authors.initials: BB
authors.lastname: Carpenter
authors.forename: E J
authors.initials: EJ
authors.lastname: Mostone
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005098:Exotoxins / Q000096:biosynthesis / Q000145:classification; D006801:Humans; D008297:Male; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013297:Streptococcus pyogenes / Q000378:metabolism; D014034:Toes / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications*
chemical_list: D005098:Exotoxins