title: Travel-related Streptococcal toxic shock syndrome caused by emm type 78 Streptococcus pyogenes.
abstract: Streptococcal toxic shock syndrome is a serious health problem in developed and developing countries. We here report a case of severe protracted disease after a minor skin infection in a young traveler returning from West Malaysia which was caused by an unusual emm-type strain harboring speG and smeZ superantigen genes.
authors.affiliation: Institute of Hygiene and Microbiology, University of Würzburg, Josef-Schneider-Str. 2, 97080 Würzburg, Germany. dtappe@hygiene.uni-wuerzburg.de
authors.forename: Dennis
authors.initials: D
authors.lastname: Tappe
authors.forename: Marco H
authors.initials: MH
authors.lastname: Schulze
authors.forename: Mark
authors.initials: M
authors.lastname: van der Linden
authors.forename: Uwe
authors.initials: U
authors.lastname: Ziegler
authors.forename: Andreas
authors.initials: A
authors.lastname: Müller
authors.forename: August
authors.initials: A
authors.lastname: Stich
mesh_terms: D000328:Adult; D000942:Antigens, Bacterial / Q000235:genetics; D005260:Female; D005528:Foot / Q000473:pathology; D005858:Germany; D006801:Humans; D008296:Malaysia; D012772:Shock, Septic / Q000175:diagnosis* / Q000209:etiology; D017192:Skin Diseases, Bacterial / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D013297:Streptococcus pyogenes / Q000235:genetics / Q000302:isolation & purification*; D018089:Superantigens / Q000235:genetics; D014195:Travel
chemical_list: D000942:Antigens, Bacterial; D018089:Superantigens