Toxic Shock-like Syndrome Caused by T Serotype B3264 Streptococcus

Akira SAEKI; Mitsuhiro YONEDA; Mikako DEGAWA; Tetsuhiko ARIMA; Keisuke HAMASAKI; Kazuhiko NAKAO; Yuji KATO; Keisuke NAKATA; Yoichi HIRAKATA; Katsumi EGUCHI

doi:10.2169/internalmedicine.39.266

Akira SAEKI, Mitsuhiro YONEDA, Mikako DEGAWA, Tetsuhiko ARIMA, Keisuke HAMASAKI, Kazuhiko NAKAO, Yuji KATO, Keisuke NAKATA, Yoichi HIRAKATA, Katsumi EGUCHI

Author information

Akira SAEKI
the First Department of Internal Medicine, Nagasaki University School of Medicine
Mitsuhiro YONEDA
the First Department of Internal Medicine, Nagasaki University School of Medicine
Mikako DEGAWA
Japanese Red Cross Nagasaki Atomic Bomb Hospital
Tetsuhiko ARIMA
the First Department of Internal Medicine, Nagasaki University School of Medicine
Keisuke HAMASAKI
the First Department of Internal Medicine, Nagasaki University School of Medicine
Kazuhiko NAKAO
Health Research Center, Nagasaki University
Yuji KATO
the First Department of Internal Medicine, Nagasaki University School of Medicine
Keisuke NAKATA
the First Department of Internal Medicine, Nagasaki University School of Medicine
Yoichi HIRAKATA
the Department of Laboratory Medicine, Nagasaki University School of Medicine
Katsumi EGUCHI
the First Department of Internal Medicine, Nagasaki University School of Medicine

Keywords: Streptococcus pyogenes, septic polyarthritis, necrotizing cellulitis, streptococcal pyogenic exotoxin

JOURNAL FREE ACCESS

2000 Volume 39 Issue 3 Pages 266-269

DOI https://doi.org/10.2169/internalmedicine.39.266

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Abstract

A 45-year-old woman was transferred from a local hospital to our hospital because of shock-like manifestations in addition to septic polyarthritis and necrotizing cellulitis of the left leg. Since Streptococcus pyogenes was isolated from the blood culture examined one day before admission, the diagnosis of streptococcal toxic shock-like syndrome (TSLS) was made. Antibiotic treatment together with supportive care started at the time of admission, resulting in clinical improvement, although poststreptococcal acute glomerulonephritis occurred during the period. TSLS is a life-threatening disease, but early recognition of the disease and prompt initiation of appropriate treatment may lead to successful outcome.
(Internal Medicine 39: 266-269, 2000)

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