Intensive Care Medicine

, Volume 22, Issue 9, pp 985–989

Toxic shock syndrome due to group C Streptococci A case report

  • S. Natoli
  • C. Fimiani
  • N. Faglieri
  • L. Laurenzi
  • A. Calamaro
  • A. M. Frasca
  • E. Arcuri
Brief Report

DOI: 10.1007/BF02044129

Cite this article as:
Natoli, S., Fimiani, C., Faglieri, N. et al. Intensive Care Med (1996) 22: 985. doi:10.1007/BF02044129

Abstract

Background

Streptococcal toxic shock-like syndrome is a life-threatening illness which is on the increase. In early reports, only group A β-hemolytic streptococcus was associated with the disease, but recent evidence indicates non-A streptococci groups are also involved.

Observations

We describe the first reported case of streptococcal toxic shock-like syndrome caused by a group C strain in Italy. Prior to the disease, the patient, a 46-year-old man, had been in good health and had only a 3-day history of sore throat, low grade fever, vomiting, diarrhea, and myalgia before admission. Initially, diagnosis was based only on clinical evidence: shock, multiorgan failure, profound hypothermia, and no apparent signs of infection. Toxic cardiomyopathy was also present.

Results

Positive throat swab and blood culture confirmed a “definite case” following established criteria. Anamnesis showed a diagnosis of monoclonal gammopathy. Antibiotic treatment was begun immediately on admission of the patient, who was discharged 20 days later in good health.

Conclusions

This case illustrates how an early diagnosis and prompt antibiotic therapy can determine a more favorable outcome.

Key words

Streptococcal infectionsSeptic shockToxemia

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • S. Natoli
    • 1
  • C. Fimiani
    • 1
    • 2
  • N. Faglieri
    • 1
  • L. Laurenzi
    • 1
  • A. Calamaro
    • 1
  • A. M. Frasca
    • 3
  • E. Arcuri
    • 1
  1. 1.Intensive Care Unit and Pain TherapyRegina Elena Cancer InstituteRomaItaly
  2. 2.Department of Experimental Medicine“La Sapienza” University of RomeRomeItaly
  3. 3.Department of MicrobiologyRegina Elena Cancer InstituteRomaItaly