Abstract
Non-group A streptococcal infections usually occur in compromised hosts who are often in a life threatening condition, and have been associated with a toxic shock-like syndrome. We present a case of streptococcal toxic shock-like syndrome caused by group G Streptococcus in a patient with myelodysplastic syndrome. This patient, a 64-year-old male, suddenly went into septic shock as purulent myositis rapidly progressed involving his entire left thigh. S. equisimilis was detected from the infected muscle. After admission to the ICU, the patient was treated with the antibiotics (ampicillin/sulbactum, clindamycin) and immunoglobulins because of multiple organ dysfunction, which subsequently developed, but amputation of the left thigh was done. The patient completely recovered from multiple organ dysfunction and was discharged from the ICU on the sixth postoperative day. A pathologic examination of the specimen revealed purulent-necrotizing myositis of the entire left thigh. We realized that the progression of group G streptococcal infections may be as rapid and invasive as that of group A streptococci.
