Streptococcal Shock Syndrome
Published: October 1, 2007 | DOI: https://doi.org/10.7860/JCDR/2007/.131
PETER J V*, ZIMMERMAN A T**, OUI JU**, PHILPOT R ***
*Reader, Medical ICU, Christian Medical College & Hospital, Vellore 632 004, India, **Staff Physician, Division of Medicine, Lyell McEwin Health Centre, Haydown Road, South Australia 5112, ***Senior Consultant & Physician, The Queen Elizabeth Hospital, Woodville South, South Australia 5011.
Correspondence
Dr. J V Peter, Medical ICU, Christian Medical College & Hospital, Vellore 632 004, INDIA.Phone:91-416-228 2693 E-mail: peterjohnvictor@yahoo.com.au
There appears to be a worldwide resurgence of invasive Group A streptococcal infections. We report a 41-year old male who presented with septic shock and multi-organ failure, secondary to Streptococcus pyogenes infection. We have reviewed the current knowledge on toxic streptococcal syndrome and the basis for the therapeutic recommendations of combination antibiotic therapy. Adjunct therapy with immunoglobulins may improve survival, possibly by enhancing neutralisation of bacterial exotoxins.
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