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Streptococcal toxic shock syndrome in a postpartum woman. Case report and review of the literature

Streptokokken-Toxic-Shock-Syndrom bei einer Frau im Wochenbett: Kasuistik und Literaturübersicht

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Summary

A case of streptococcal toxic shock syndrome in a 29-year-old postpartum woman is described. The patient presented with hypotension, coagulation defects, adult respiratory distress syndrome and scarlet exanthema as a complication of hemolytic group A streptococcal endometritis. One hundred and twenty-two other cases of streptococcal toxic shock syndrome in the literature are reviewed and the criteria of the syndrome discussed. Streptococcal toxic shock syndrome seems to be increasing along with more frequent invasive streptococcal infections in several countries. It is therefore important to recognize and treat the infection as early as possible to minimize the risk of mortality.

Zusammenfassung

Bei einer 29jährigen Frau trat im Wochenbett ein durch Streptokokken verursachtes Toxic Shock Syndrom auf, das durch Hypotonie, Gerinnungsstörung, Erwachsenen-Respiratory Distress Syndrom und Scharlach-Exanthem als Komplikation einer A-Streptokokken-Endometritis charakterisiert war. Wir haben 122 andere Fälle von Toxic Shock Syndrom aus der Literatur überprüft und die diagnostischen Kriterien diskutiert. Mit der Zunahme an Streptokokkeninfektionen werden in verschiedenen Ländern häufiger Fälle von Toxic Shock Syndrom beobachtet. Es ist wichtig, die Infektion so früh wie möglich zu erkennen und zu behandeln, um das Mortalitätsrisiko zu vermindern.

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Authors and Affiliations

  1. Dept. of Infectious Diseases, Söder Hospital, S-11883, Stockholm

    Christina Jorup-Rönström M. D., Ph. D.

  2. Dept. of Obstetrics and Gynaecology, Söder Hospital, S-11883, Stockholm

    Marie Hofling M. D.

  3. Centre for Laboratory Medicine, Dept. of Clinical Microbiology, Söder Hospital, S-11883, Stockholm

    Christina Lundberg M. D.

  4. Dept. of Clinical Bacteriology, Umeå University, S-90185, Umeå, Sweden

    S. Holm

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  1. Christina Jorup-Rönström M. D., Ph. D.
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  2. Marie Hofling M. D.
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  3. Christina Lundberg M. D.
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  4. S. Holm
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Jorup-Rönström, C., Hofling, M., Lundberg, C. et al. Streptococcal toxic shock syndrome in a postpartum woman. Case report and review of the literature. Infection 24, 164–167 (1996). https://doi.org/10.1007/BF01713330

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