title: Toxic shock syndrome due to group A beta-hemolytic streptococcus presenting with purpura fulminans and limb ischemia in a pediatric patient treated with early microsurgical arteriolysis.
abstract: We describe a 2.5 year-old child with toxic shock syndrome due to group A beta-hemolytic streptococcus (GABHS) who presented with purpura fulminans and limb ischemia treated with early microsurgical arteriolysis. The clinical picture of toxic shock syndrome (TSS) presenting with purpura fulminans and limb ischemia is an exceptionally uncommon finding in sepsis due to GABHS. This is the first case of purpura fulminans caused by GABHS reported in Europe and the third one described in the literature (Dhodapkar et al., 2000[1]; Renaud et a., 2011[2]).
authors: Department of Plastic Surgery, ULB Brussels University Hospital, Brussels, Belgium. m_daskalaki@hotmail.com
authors: Maria-Anna
authors: MA
authors: Daskalaki
authors: Willy D
authors: WD
authors: Boeckx
authors: Albert
authors: A
authors: DeMey
authors: Diane
authors: D
authors: Franck
mesh_terms: D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D023821:Limb Salvage; D035002:Lower Extremity / Q000098:blood supply / Q000601:surgery; D008866:Microsurgery; D055665:Purpura Fulminans / Q000209:etiology* / Q000601:surgery; D017534:Radial Artery / Q000601:surgery; D012772:Shock, Septic / Q000150:complications / Q000175:diagnosis*; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D016909:Tibial Arteries / Q000601:surgery; D034941:Upper Extremity / Q000098:blood supply / Q000601:surgery