Invasive group A streptococcus infection of the scrotum and streptococcal toxic shock syndrome.
We report a case of invasive group A streptococcus infection of the scrotum that presented as epididymoorchitis and rapidly progressed to streptococcal toxic shock syndrome. The presentation, pathophysiology, and management of invasive group A streptococcus and streptococcal toxic shock syndrome are reviewed. Rapid recognition is necessary to avoid the significant morbidity and mortality associated with these invasive infections.
Walker
B R
BR
Department of Urology, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Pribble
C G
CG
Cartwright
P C
PC
D000293:Adolescent; D000900:Anti-Bacterial Agents; D003646:Debridement; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005334:Fever; D006801:Humans; D008297:Male; D009920:Orchitis / Q000175:diagnosis* / Q000628:therapy; D010146:Pain; D012086:Reoperation; D012611:Scrotum / Q000382:microbiology*; D012772:Shock, Septic / Q000175:diagnosis*; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents