Group A streptococcal toxic shock syndrome with extremely aggressive course in the third trimester

2010 ◽  
Vol 36 (4) ◽  
pp. 852-855 ◽  
Author(s):  
Takashi Sugiyama ◽  
Takumi Kobayashi ◽  
Kenji Nagao ◽  
Tsuyoshi Hatada ◽  
Hideo Wada ◽  
...  
Keyword(s):  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Third Trimester ◽  
The Third ◽  
Group A

scholarly journals A Fatal Case of Streptococcal Toxic Shock Syndrome Developing in the Third Trimester of Pregnancy, China

2021 ◽  
Author(s):  
Yasha Luo ◽  
Minling Zheng ◽  
Yanyuan Chen ◽  
Chunming Gu ◽  
Lijuan Lv ◽  
...  
Keyword(s):  
Streptococcus Pyogenes ◽  
Toxic Shock Syndrome ◽  
Fatal Case ◽  
Invasive Disease ◽  
Fetal Mortality ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Third Trimester ◽  
The Third ◽  
Emergency Cesarean

Abstract Background Group A streptococcal (GAS) toxic shock syndrome (TSS) is a rare invasive disease, causing a high risk of maternal and fetal mortality during pregnancy. We report a fatal case of a female caused by GAS-TSS in the third trimester of pregnancy in Guangzhou, China. Case presentation: The patient is a 33-year-old female who presented at 37 weeks’ gestation with a history of three hours fever. She underwent an emergency cesarean section due to fetal bradycardia. The neonate survived after an aggressive anti-infection treatment. However, the patient’s condition deteriorated rapidly after the operation and the patient died of disseminated intravascular coagulation and septic shock within 24h after admission. She was finally diagnosed with GAS-TSS. The GAS strains were isolated from two bottles of blood cultures, which confirmed as Streptococcus pyogenes by 16S gene sequencing and identified as serotype M1 by molecular typing. Conclusions Dramatical clinical picture and laboratory characters of the pregnant woman presented here might help improve clinicians' awareness and recognition of Streptococcus pyogenes, which could be of great importance for the early diagnosis of GAS- TSS in pregnancy.

scholarly journals A Fatal Case of Streptococcal Toxic Shock Syndrome Caused By Genotype Emm1 In The Third Trimester of Pregnancy, China

2021 ◽  
Author(s):  
Yasha Luo ◽  
Minling Zheng ◽  
Yanyuan Chen ◽  
Chunming Gu ◽  
Lijuan Lv ◽  
...  
Keyword(s):  
Clinical Picture ◽  
Toxic Shock Syndrome ◽  
Fatal Case ◽  
Invasive Disease ◽  
Fetal Mortality ◽  
Rapid Progression ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Third Trimester ◽  
The Third

Abstract Background: Group A streptococcal (GAS) toxic shock syndrome (TSS) is a rare invasive disease, causing a high risk of maternal and fetal mortality during pregnancy. We report a fatal case of a female caused by GAS-TSS in the third trimester of pregnancy in Guangzhou, China. Case presentation: The patient is a 33-year-old female who presented at 37 weeks’ gestation with a history of three hours fever. The patient underwent an early onset and rapid progression with dramatic clinical picture and laboratory characters within 24 hours. The neonate survived after an aggressive anti-infection treatment.The GAS strains were isolated from two bottles of blood cultures and airway secretion culture, which confirmed as Streptococcus pyogenes associated with genotype emm1 by molecular analysis.Conclusion: Dramatic clinical picture and laboratory characters of the pregnant woman presented here might help improve clinicians' awareness and recognition of Streptococcus pyogenes, which could be of great importance for the early diagnosis of GAS- TSS in pregnancy.

Streptococcal toxic shock syndrome occurring in the third trimester of pregnancy: A case report

2017 ◽  
Vol 43 (10) ◽  
pp. 1639-1643
Author(s):  
Mohamad Irani ◽  
Rodney McLaren ◽  
Richard H. Savel ◽  
Oksana Bogatyryova ◽  
Fady Khoury-Collado
Keyword(s):  
Case Report ◽  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Third Trimester ◽  
The Third

scholarly journals Streptococcal toxic shock syndrome following total thyroidectomy

2013 ◽  
Vol 95 (7) ◽  
pp. 457-460 ◽  
Author(s):  
J AZ Hung ◽  
P Rajeev
Keyword(s):  
Total Thyroidectomy ◽  
Toxic Shock Syndrome ◽  
Cowden Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Rare Occurrence ◽  
Toxic Shock ◽  
Group A ◽  
High Index Of Suspicion ◽  
Improve Patient ◽  
Management Issues

Group A streptococcal toxic shock syndrome following clean surgery is a rare occurrence. Its incidence following thyroid surgery has not been described in the literature. We report on the presentation and management of severe streptococcal toxic shock syndrome following a total thyroidectomy for a multinodular goitre in a patient with Cowden syndrome. This report presents an overview of streptococcal toxic shock syndrome with a focus on the management issues to consider so as to improve patient outcome. All surgeons must maintain a high index of suspicion for this rare but dangerous entity.

Cases of death due to serious group A streptococcal toxic shock syndrome in pregnant females in Japan

2014 ◽  
Vol 291 (1) ◽  
pp. 5-7 ◽  
Author(s):  
Junichi Hasegawa ◽  
Akihiko Sekizawa ◽  
Jun Yoshimatsu ◽  
Takeshi Murakoshi ◽  
Kazuhiro Osato ◽  
...  
Keyword(s):  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Pregnant Females ◽  
Group A

scholarly journals „Tempus fugit, venit mors” – a streptococcalis toxikus sokk szindrómáról egy eset kapcsán

2019 ◽  
Vol 160 (48) ◽  
pp. 1887-1893
Author(s):  
Bálint Gergely Szabó ◽  
Rebeka Kiss ◽  
Katalin Szidónia Lénárt ◽  
Nikolova Radka ◽  
Béla Kádár
Keyword(s):  
Toxic Shock Syndrome ◽  
Signs And Symptoms ◽  
Rapid Progression ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
Group A ◽  
High Level ◽  
Portal Of Entry

Abstract: Streptococcal toxic shock syndrome (STSS) is a hyperacute, life-threatening illness, a complication of invasive streptococcal (mostly group A, rarely groups B, G or C) infection. There is no portal of entry (skin, vagina, pharynx) in nearly half of the STSS cases. The initial signs and symptoms (fever, flu-like complaints, hypotension) are scarce and aspecific, but because of its rapid progression and poor prognosis, early high level of suspicion is necessary. Management has 3 crucial points: initiation of anti-streptococcal regimen (and intravenous immunoglobulin in some cases), aggressive intensive care support of multi-organ failure, and surgical control of the infective source. In this article, we present a case of a patient succumbing to streptococcal toxic shock syndrome which was preceded by primary S. pyogenes bacteremia, and review the key points of this potentially fatal disease for practising clinicians. Orv Hetil. 2019; 160(48): 1887–1893.

Sign in / Sign up

Export Citation Format

Share Document