We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Streptococcal toxic shock syndrome in children without skin and soft tissue infection: report of four cases.
- Authors
Chiang, Ming-Chou; Jaing, Tang-Her; Wu, Chang-Teng; Hsia, Shao-Hsuan; Chiu, Cheng-Hsun
- Abstract
<bold>Unlabelled: </bold>Streptococcal toxic shock syndrome is a fulminant, highly fatal disease characterized by evidence of group A beta-haemolytic streptococcus infection and early shock with consecutive organ failure. In adults, affected individuals usually have preceding skin or soft tissue infection. However, in paediatric patients, except for varicella, the background focus is usually respiratory tract infection, and early diagnosis of streptococcal toxic shock syndrome in such patients is difficult. We report four previously healthy children with streptococcal toxic shock syndrome. Pharyngitis was identified in three cases. All of them had constitutional symptoms such as fever, vomiting, diarrhoea, abdominal pain and physical findings of tachycardia and diffuse abdominal tenderness, but no concomitant skin infection.<bold>Conclusion: </bold>Streptococcal toxic shock syndrome should be considered in paediatric patients with fever, vomiting, diarrhoea, abdominal pain and early shock. Early diagnosis, prompt initiation of antibiotics and aggressive fluid therapy are lifesaving for such patients.
- Subjects
SEPTIC shock treatment; STREPTOCOCCAL disease diagnosis; STREPTOCOCCAL disease treatment; SEPTIC shock; STREPTOCOCCUS; DIAGNOSIS
- Publication
Acta Paediatrica, 2005, Vol 94, Issue 6, p763
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1080/08035250410025041