title: [Streptococcal toxic shock syndrome: a case report].
abstract: Streptococcal toxic shock syndrome (STSS) is the most severe form of invasive infections caused by group A streptococci. In this report, a 36-years-old man who was admitted to our clinic with the complaints of fever, rash, skin lesions, abdominal pain, weakness and anuria for 2 days, has been presented. His body temperature was 39.5 degrees C and blood pressure was 50/20 mmHg. In physical examination, diffuse erythematous rash on the body, cellulitis on left leg and foot, fungal lesions on the toes, and abdominal tenderness were noted. Laboratory results revealed a dramatic increase in leukocyte count, increased sedimentation rate, elevated blood urea nitrogen, cretinine, liver enzymes and bilirubin levels. Group A streptococci were isolated from the blood culture of the patient. Despite supportive (intravenous saline, dopamine) and antibiotic (clindamycin-ceftriaxone combination) therapies, adult respiratory distress syndrome has developed in two days, and he died on the third day. This case was presented to draw attention to STSS, which was a rare clinical entity with rapid progression to mortality despite aggressive medical therapy.
authors.affiliation: Atatürk Universitesi Tip Fakültesi, Klinik Mikrobiyoloji ve Enfeksiyon Hastaliklari Anabilim Dali, Erzurum.
authors.forename: Zülal
authors.initials: Z
authors.lastname: Ozkurt
authors.forename: Serpil
authors.initials: S
authors.lastname: Erol
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ertek
authors.forename: Ulkü
authors.initials: U
authors.lastname: Altoparlak
authors.forename: Mehmet A
authors.initials: MA
authors.lastname: Taşyaran
mesh_terms: D000328:Adult; D016470:Bacteremia / Q000382:microbiology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D012772:Shock, Septic / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*