Ann Clin Microbiol.  2014 Sep;17(3):91-94. 10.5145/ACM.2014.17.3.91.

Group B Streptococcal Toxic Shock-like Syndrome: A Case Report and Review of the Literature

• Son BR
• Shin KS

• KMID: 1971101
• DOI: http://doi.org/10.5145/ACM.2014.17.3.91

Abstract

Toxic shock syndrome is an acute and febrile illness that rapidly progress to shock and multi-organ failure, and it is caused by toxin-producing strains of Staphylococcus aureus or Streptococcus species. Streptococcal toxic shock syndrome (STSS) is usually caused by group A streptococci, but non-group A STSS is rare. In this study, we describe a case of STSS caused by Streptococcus agalactiae(group B streptococci) in a patient with alcoholic liver cirrhosis. At arrival in our hospital, the patient had a decreased mental status with hemorrhagic bullae on four extremities, and he progressed to a fatal outcome within 4 days in spite of antibiotic treatment.

Keyword

Liver cirrhosis; Streptococcus agalactiae; Toxic shock syndrome

MeSH Terms

Extremities
Fatal Outcome
Humans
Liver Cirrhosis
Liver Cirrhosis, Alcoholic
Shock
Shock, Septic
Staphylococcus aureus
Streptococcus
Streptococcus agalactiae