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Fulminant group A streptococcal infections. Report of two cases.
- Source :
-
Klinische Wochenschrift [Klin Wochenschr] 1990 Apr 17; Vol. 68 (8), pp. 427-30. - Publication Year :
- 1990
-
Abstract
- We describe two female patients presenting with spontaneous peritonitis and fulminant Streptococcus pyogenes (Strep. pyogenes) septicemia and shock. Both patients recovered completely upon immediate antibiotic therapy, initially with broad range combination therapy effective against Strep. pyogenes, which was switched to penicillin G when culture results became available. This isolated strain in case 1 was M-type 28, which is the M-type most often isolated from vaginal swabs (as commensal) and from blood from patients with puerperal sepsis. Patient 1 had signs and symptoms of a toxic shock-like syndrome, including rapid onset of fever and shock, skin rash, desquamation of palms and soles, and multisystem involvement with vomiting, diarrhea, myalgia, renal failure, and severe disorientation without focal neurological deficits.
- Subjects :
- Anti-Bacterial Agents therapeutic use
Drug Therapy, Combination
Emergencies
Female
Humans
Middle Aged
Peritonitis diagnosis
Peritonitis drug therapy
Peritonitis microbiology
Sepsis diagnosis
Sepsis drug therapy
Sepsis microbiology
Shock, Septic diagnosis
Shock, Septic drug therapy
Shock, Septic microbiology
Streptococcal Infections drug therapy
Streptococcal Infections microbiology
Streptococcus pyogenes isolation & purification
Streptococcal Infections diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0023-2173
- Volume :
- 68
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Klinische Wochenschrift
- Publication Type :
- Academic Journal
- Accession number :
- 2190045
- Full Text :
- https://doi.org/10.1007/BF01648585