J Korean Pediatr Soc.  2001 Feb;44(2):200-204.

A Case of Streptococcal Toxic Shock Like Syndrome with Pleural Effusion

• Song JY
• Ji KH
• Kim HS
• Rhoo JW
• Kim DW
• Lee JK

Abstract

Streptococcal toxic shock like syndrome is a rapidly progressive and a fatal disease like staphylococcal toxic shock syndrome. In spite of the wide expansion and development of potent antibiotics, streptococcal infection still threatens human being. Recently we experienced a patient with toxic shock like syndrome who was suffered from fever and neck pain with rapid progression to hypotension and multiorgan failure. Streptococcus pyogenes was proven in his throat culture which was done on admission. Pleural effusion and suspicious carditis with aortic and mitral valve regurgitation were examined on the third hospital day. He was treated successfully with antibiotics but we wanted to emphasize potentially fatal streptococcal toxic shock like syndrome in pediatric patients.

Keyword

Toxic shock like syndrome; Streptococcus pyogenes; Pleural effusion; Carditis

MeSH Terms

Anti-Bacterial Agents
Fever
Humans
Hypotension
Mitral Valve Insufficiency
Myocarditis
Neck Pain
Pharynx
Pleural Effusion*
Shock, Septic*
Streptococcal Infections
Streptococcus pyogenes
Anti-Bacterial Agents