title: Invasive group A streptococcus infection of the scrotum and streptococcal toxic shock syndrome.
abstract: 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.
authors.affiliation: Department of Urology, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
authors.forename: B R
authors.initials: BR
authors.lastname: Walker
authors.forename: C G
authors.initials: CG
authors.lastname: Pribble
authors.forename: P C
authors.initials: PC
authors.lastname: Cartwright
mesh_terms: 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*
chemical_list: D000900:Anti-Bacterial Agents