title: [Toxic shock-like syndrome of the neck, a case report].
abstract: Streptococcal toxic shock-like syndrome (TSLS) is known to progress rapidly into septic shock and have a high mortality of 40%. We report a rare case of neck infectious disease caused by Group A hemolytic streptococcus pyogenes. A 65-year-old man, hospitalized for eyelid swelling and dyspnea suffered shock, dyspnea, and pressure reduction on the day he was hospitalized and died of multiple organ failure 18 days later. Despite treatment with antibiotics, tracheostomy, immunoglobulin, etc. We suspected that he had been infected via a laceration of the external auditory meatus. Accurate diagnosis followed by prompt, radical treatment is essential if TSLS is to be treated successfully.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kurita
authors.forename: Kikuo
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Tadashi
authors.initials: T
authors.lastname: Nakashima
authors.forename: Youichi
authors.initials: Y
authors.lastname: Matsuda
authors.forename: Takao
authors.initials: T
authors.lastname: Kasuya
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D009333:Neck; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology* / Q000473:pathology; D013290:Streptococcal Infections; D013297:Streptococcus pyogenes