title: Disseminated viridians streptococcus (Streptococcus mitis) infection presenting with toxic shock-like syndrome.
abstract: The authors report a case of a 35-year-old man with no known underlying disease who presented with fever, cellulitis with hemorrhagic blebs on the left leg, monoarthricular left knee arthritis, multiple organ failure and septic shock. His clinical syndrome was compatible with toxic shock syndrome and his blood grew alpha hemolytic (viridians) Streptococcus mitis. To our knowledge, there are few reported cases of toxic shock syndrome cause by Streptococcus mitis in immune-competent adults.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand. drpojin@yahoo.com
authors.forename: Poj
authors.initials: P
authors.lastname: Intalapaporn
authors.forename: Sunee
authors.initials: S
authors.lastname: Wongcharoen
authors.forename: Anongnart
authors.initials: A
authors.lastname: Chinapha
authors.forename: Tavatchai
authors.initials: T
authors.lastname: Jariyasethpong
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012772:Shock, Septic / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D034361:Streptococcus mitis / Q000302:isolation & purification*; D013785:Thailand