title: Toxic-shock-like-syndrome due to Streptococcus pneumoniae sinusitis.
abstract: We describe a patient with Streptococcus pneumoniae sinusitis associated with a severe sepsis syndrome and desquamative rash whose clinical illness strongly resembled toxic-shock syndrome. Assay of convalescent serum for antibodies to toxic-shock syndrome toxin 1 was negative. This case suggests the possibility of an additional bacterial pathogen associated with toxic-shock syndrome.
authors.affiliation: Department of Internal Medicine, Western Galilee Medical Center, Nahariya, Israel.
authors.forename: S R
authors.initials: SR
authors.lastname: Friedstrom
authors.forename: J
authors.initials: J
authors.lastname: Awad
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000503:physiopathology*; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology; D012852:Sinusitis / Q000150:complications* / Q000382:microbiology*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*