title: [Streptococcal toxic shock-like syndrome"--a rare complication of pyogenic skin infections].
abstract: In recent years there is an increasing incidence of streptococcal toxic shock-like syndrome in otherwise healthy adults. It is characterized by feaver, rash, hypotension and early shock with consecutive organ failure and a mortality rate of about 30%. Only early, aggressive and repeated surgical debridement can reduce the bacterial load and decrease circulating exotoxins and thereby in combination with antibiotic therapy decrease the high mortality of this entity.
authors.affiliation: Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen.
authors.forename: S
authors.initials: S
authors.lastname: Willis
authors.forename: E
authors.initials: E
authors.lastname: Schippers
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D000328:Adult; D019072:Antibiotic Prophylaxis; D003131:Combined Modality Therapy; D003646:Debridement; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012772:Shock, Septic / Q000401:mortality / Q000601:surgery*; D017192:Skin Diseases, Bacterial / Q000401:mortality / Q000601:surgery*; D013290:Streptococcal Infections / Q000401:mortality / Q000601:surgery*
vernacular_title: Das "Streptococcal Toxic Shock-like Syndrome"--eine seltene Komplikation pyogener Hautinfektionen.