title: [Streptococcus pyogenes infection with tonsillar focus as possible cause of septic shock].
abstract: Streptococcus pyogenes (SP) is a common bacterial pathogen. For the past two decades, several studies have reported an increase in the severity and the incidence of SP infections.
  
  
  METHODS
  a 60-year-old female admitted to the hospital with tonsillitis acuta verified by strep-A test was initially treated with V-penicillin, but developed septic shock and disseminated intravascular coagulation (DIC), and treatment was changed to cefuroxime and clindamycin. She recovered fully. This case combined with other studies illustrates that SP infections have become more severe. Clindamycin should be added to penicillin for the treatment of invasive SP infections.
authors.affiliation: Smyrnavej 2, 4, -1, DK-2300 København S. Dalaho112@hotmail.com.
authors.forename: Jalal
authors.initials: J
authors.lastname: Alimoradi
authors.forename: Gorm
authors.initials: G
authors.lastname: Lisby
authors.forename: Jørgen
authors.initials: J
authors.lastname: Jeppesen
authors.forename: Jørgen
authors.initials: J
authors.lastname: Haraszuk
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002444:Cefuroxime / Q000008:administration & dosage; D002981:Clindamycin / Q000008:administration & dosage; D004211:Disseminated Intravascular Coagulation / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010404:Penicillin V / Q000008:administration & dosage; D012772:Shock, Septic / Q000188:drug therapy / Q000382:microbiology*; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D014069:Tonsillitis / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D002444:Cefuroxime; D010404:Penicillin V