Journal
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
Volume 14, Issue -, Pages E208-E212Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.ijid.2009.07.014
Keywords
Group A Streptococcus; Streptococcal toxic shock syndrome; Primary peritonitis
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Streptococcal toxic shock syndrome (STSS) can be defined as a septic shock syndrome resulting from infection with toxin-producing group A streptococci (GAS). STSS can sporadically present as primary peritonitis in previously healthy persons. Signs of STSS are non-specific and patients generally present with flu-like symptoms and can develop a life-threatening toxic shock syndrome in just a few hours. Diagnosis is mainly by a combination of physical examination, laboratory/culture results, and exclusion of surgical causes by means of imaging modalities and/or surgical exploration. GAS remain penicillin-sensitive and most are clindamycin-sensitive. Prompt supportive treatment, possibly together with high-dose intravenous immunoglobulins, is crucial. (C) 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
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