| Severe group A streptococcal toxic shock syndrome presenting as primary peritonitis: a case report and brief review of the literature. | |
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MedLine Citation:
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PMID: 19914115 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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A M R Tilanus; H R H de Geus; B J A Rijnders; R S Dwarkasing; B van der Hoven; J Bakker |
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Publication Detail:
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Type: Journal Article Date: 2009-11-13 |
Journal Detail:
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Title: International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases Volume: 14 Suppl 3 ISSN: 1878-3511 ISO Abbreviation: Int. J. Infect. Dis. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-10-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9610933 Medline TA: Int J Infect Dis Country: Canada |
Other Details:
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Languages: eng Pagination: e208-12 Citation Subset: IM |
Copyright Information:
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Copyright © 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Internal Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands. alwintilanus@hotmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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