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Streptococcal toxic shock syndrome secondary to group A Streptococcus vaginitis.

Authors :
Hikone M
Kobayashi K
Washino T
Ota M
Sakamoto N
Iwabuchi S
Ohnishi K
Source :
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy [J Infect Chemother] 2015 Dec; Vol. 21 (12), pp. 873-6. Date of Electronic Publication: 2015 Sep 19.
Publication Year :
2015

Abstract

Streptococcal toxic shock syndrome (TSS) is a systemic illness usually caused in the setting of infection by group A Streptococcus (GAS). The primary infections are often invasive infections of the respiratory tract or necrotizing infections of the skin and soft tissue, but some infections occur without relevant focus. GAS vaginitis is a rare condition among adult women and is accordingly thought to be uncommon as a cause of streptococcal TSS. Here we report the cases of two postmenopausal women with streptococcal TSS secondary to GAS vaginitis, one aged 55 and one aged 60. Both came to our emergency department with complaints or symptoms of abdominal pain, fever, hypotension, and multi-organ failure. In both cases, the relevant factor associated with streptococcal infection was a recent episode of GAS vaginitis. Both underwent fluid management and 14 days of antibiotic treatment and fully recovered without complications. Vaginitis was likely to be the primary infectious trigger of TSS in these two cases. Intrauterine device insertion, endometrial biopsy, and post-partum state have all been previously reported in TSS patients, and the female genital tract has been described as a portal of entry. GAS vaginitis warrants appropriate treatment as it may progress to severe systemic infection as described.<br /> (Copyright © 2015 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.)

Details

Language :
English
ISSN :
1437-7780
Volume :
21
Issue :
12
Database :
MEDLINE
Journal :
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
Publication Type :
Academic Journal
Accession number :
26386777
Full Text :
https://doi.org/10.1016/j.jiac.2015.07.011