title: [Scarlet fever with multisystem organ failure and hypertrophic gastritis].
abstract: Scarlet fever is a rare disease in adult patients. We report a patient in whom scarlet fever was associated with hypertrophic gastritis and multiple organ failure. A 62-year-old woman presented with septic shock and multiple organ failure. Bacteriological survey was negative. Abdominal tomodensitometry showed an hypertrophic gastritis. Histological analysis demonstrated a non specific gastritis without any tumoral sign. Cefotaxime and amoxicillin led to improvement and hypertrophic gastritis progressively resolved. A sandpaper rash over the body with finger desquamation, elevation of antistreptolysin O and a recent contact with an infected grandson led to the diagnosis of scarlet fever. Due to antibiotic prescription, scarlet fever is now uncommon. Although classical, ENT or gastroenteritis presentations may be puzzling for the diagnosis of scarlet fever. As 150 years ago, diagnosis of scarlet fever is still a clinical challenge.
authors.affiliation: Département de médecine interne et gérontologie, CHU d'Angers, 49933 Angers cedex 9, France.
authors.forename: J
authors.initials: J
authors.lastname: Sandrini
authors.forename: A-B
authors.initials: AB
authors.lastname: Beucher
authors.forename: A
authors.initials: A
authors.lastname: Kouatchet
authors.forename: C
authors.initials: C
authors.lastname: Lavigne
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000989:Antistreptolysin / Q000097:blood; D015415:Biomarkers / Q000097:blood; D002439:Cefotaxime / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005076:Exanthema / Q000382:microbiology; D005260:Female; D005758:Gastritis, Hypertrophic / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D006801:Humans; D007155:Immunologic Factors / Q000097:blood; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D012541:Scarlet Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*; D012772:Shock, Septic / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D015415:Biomarkers; D007155:Immunologic Factors; D000658:Amoxicillin; D000989:Antistreptolysin; D002439:Cefotaxime