Abstract
Streptococcal Toxic Shock syndrome (STSS) is a serious complication caused by exotoxins of Group A Streptococcus (GAS). It presents with fulminant shock and rash, is rapidly progressive with Multi-Organ Dysfunction Syndrome (MODS) and requires aggressive therapy with fluids, antibiotics and source control.
References
Stevens DL. Streptococcal toxic-shock syndrome: Spectrum of disease, pathogenesis, and new concepts in treatment. Emerg Infect Dis. 1995;1:69–78.
Abuhammour W, Hasan RA, Unuvar E. Group A beta-hemolytic streptococcal bacteremia. Indian J Pediatr. 2004;71:915–9.
Morales MV, Navarro CJS, Lletí MS, Alonso MM, Bellés CP, Aldeguer JL, et al. Group A streptococcal bacteremia: Outcome and prognostic factors. Rev Esp Quimioter. 2006;19:367–75.
Streptococcal Toxic Shock Syndrome (STSS). CDC Case definition 2010. Available from:http://wwwn.cdc.gov/NNDSS/script/casedef.aspx?CondYrID=858&DatePub=1/1/2010%2012:00:00%20AM. Accessed on 06/08/2013.
Shah SS, Hall M, Shrivastava R, Subramony A, Levin JE. Intravenous immunoglobulin in children with streptococcal toxic shock syndrome. Clin Infect Dis. 2009;49:1369–76.
Wiles 3rd CE, Reynolds HN, Bar-Lavie Y. Flush resuscitation for group A streptococcus toxic shock : A possible role for continuous renal resuscitation therapy and plasmapheresis. Md Med J. 1998;47:188–90.
Demers B, Simor AE, Velland H, Schlievert PM, Byrne S, Jamieson F, et al. Severe invasive group A streptococcal infections in Ontario, Canada: 1987–1991. Clin Infect Dis. 1993;16:792–800. discussion 801–2.
Rodríguez-Nuñez A, Dosil-Gallardo S, Jordan I. Clinical characteristics of children with group A streptococcal toxic shock syndrome admitted to pediatric intensive care units. Eur J Pediatr. 2011;170:639–44.
Contributions
All the authors were involved in case management. VK wrote the initial draft and shall act as the guarantor. KP helped in draft writing. SS and RPS gave intellectual inputs in case management and edited the draft. All authors approved the final draft.
Conflict of Interest
None.
Role of Funding Source
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Krishna, V., Sankaranarayan, S., Sivaraman, R.P. et al. Streptococcal Toxic Shock Syndrome. Indian J Pediatr 81, 946–948 (2014). https://doi.org/10.1007/s12098-013-1272-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-013-1272-8