We report a 76 -year-old woman with rheumatoid arthritis for 20 years, who gradually experienced dull pain in her leg thigh and general fatigue. She was gaven medicine at a near by hospital. But due to worsening conditions, she was introduced to our hospital. On the same day she visited our hospital, she reguired relaxation and debridement. Bacteriological examination showed the existence of group A Streptococci in the lesion, and we diagnosed this case as toxic shock like syndrome.
Treatment with high-dose penicillin, clindamycin, and globulin were effective. After one month, she underwent skin graft from another thigh. After three months, she was able to walk for herself and was discharged. We considered it is important to diagnose her illness as Group A Streptococcus Infection.
