Severe group A streptococcal toxic shock syndrome presenting as primary peritonitis: a case report and brief review of the literature

被引：29
作者：
Tilanus, A. M. R. [1 ]
de Geus, H. R. H. [2 ]
Rijnders, B. J. A. [3 ]
Dwarkasing, R. S. [4 ]
van der Hoven, B. [2 ]
Bakker, J. [2 ]
机构：
[1] Erasmus Univ, Med Ctr, Dept Internal Med, NL-3000 CA Rotterdam, Netherlands
[2] Erasmus Univ, Med Ctr, Dept Intens Care, Rotterdam, Netherlands
[3] Erasmus Univ, Med Ctr, Dept Internal Med Med Microbiol Infect Dis, Rotterdam, Netherlands
[4] Erasmus Univ, Med Ctr, Dept Radiol, Rotterdam, Netherlands
来源：
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES | 2010年 / 14卷
关键词：
Group A Streptococcus; Streptococcal toxic shock syndrome; Primary peritonitis; SPONTANEOUS BACTERIAL PERITONITIS; SEPSIS; INFECTION; THERAPY; PATHOGENESIS; DISEASE;
D O I：
10.1016/j.ijid.2009.07.014
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
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. (C) 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：E208 / E212
页数：5
相关论文
共 32 条
  • [1] Auskalnis Stasys, 2004, Medicina (Kaunas), V40, P969
  • [2] Therapeutic approaches to streptococcal toxic shock syndrome
    Baracco G.J.
    Bisno A.L.
    [J]. Current Infectious Disease Reports, 1999, 1 (3) : 230 - 237
  • [3] Group A streptococcal toxic shock syndrome associated with pelvic peritonitis following diagnostic hysteroscopy in a healthy woman: a case report and review
    Bhatia, Kalsang
    Hill, Simon
    [J]. GYNECOLOGICAL SURGERY, 2009, 6 (02) : 161 - 164
  • [4] Group a streptococcal sepsis secondary to peritonitis and acute pelvic inflammatory disease
    Borgia, SM
    Low, DE
    Andrighetti, S
    Rau, NV
    [J]. EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 2001, 20 (06) : 437 - 439
  • [5] DEFINING THE GROUP-A STREPTOCOCCAL TOXIC SHOCK SYNDROME - RATIONALE AND CONSENSUS DEFINITION
    BREIMAN, RF
    DAVIS, JP
    FACKLAM, RR
    GRAY, BM
    HOGE, CW
    KAPLAN, EL
    MORTIMER, EA
    SCHLIEVERT, PM
    SCHWARTZ, B
    STEVENS, DL
    TODD, JK
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (03): : 390 - 391
  • [6] Usefulness of abdominal CT scan in severe peritoneal sepsis linked to primary peritonitis
    Brivet, FG
    Smadja, C
    Hilbert, U
    Vons, C
    Jacobs, F
    Gordji-Therani, H
    Musset, D
    [J]. SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 2005, 37 (01) : 76 - 78
  • [7] FULMINANT GROUP-A STREPTOCOCCAL INFECTIONS - REPORT OF 2 CASES
    CHRISTEN, RD
    MOSER, R
    SCHLUP, P
    NEFTEL, KA
    [J]. KLINISCHE WOCHENSCHRIFT, 1990, 68 (08): : 427 - 430
  • [8] Pathogenesis of group A streptococcal infections
    Cunningham, MW
    [J]. CLINICAL MICROBIOLOGY REVIEWS, 2000, 13 (03) : 470 - +
  • [9] Intravenous immunoglobulin G therapy in streptococcal toxic shock syndrome:: A European randomized, double-blind, placebo-controlled trial
    Darenberg, J
    Ihendyane, N
    Sjölin, J
    Aufwerber, E
    Haidl, S
    Follin, P
    Andersson, J
    Norrby-Teglund, A
    [J]. CLINICAL INFECTIOUS DISEASES, 2003, 37 (03) : 333 - 340
  • [10] Laparoscopic diagnosis and management of primary bacterial peritonitis
    Farooq, A
    Ammori, BJ
    [J]. SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2005, 15 (01) : 36 - 37
1234