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A Diagnostic Dilemma: Clindamycin-Resistant Group A Streptococcal Toxic Shock Syndrome Leading to Acute Respiratory Distress Syndrome (ARDS) With Multiple Possible Sources.
Dennis, Donald; Kumar, Sagar; Akta, Huma; Fouty, Brian; Schaphorst, Kane.
Afiliación
  • Dennis D; Department of Internal Medicine, University of South Alabama, Mobile, USA.
  • Kumar S; Department of Pulmonary and Critical Care, University of South Alabama, Mobile, USA.
  • Akta H; Department of Internal Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
  • Fouty B; Department of Pulmonary and Critical Care, University of South Alabama, Mobile, USA.
  • Schaphorst K; Department of Pulmonary and Critical Care, University of South Alabama, Mobile, USA.
Cureus ; 16(4): e58212, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38741817
ABSTRACT
Group A Streptococcal (GAS) infections can potentially progress into streptococcal toxic shock syndrome (STSS) with multiorgan failure. Even with a benign presentation, GAS can rapidly lead to fatal necrotizing infections. While myositis and cutaneous infections are the typical initial presentation of STSS, genitourinary infections are a less common source. This report presents a case of a previously healthy woman with the chief complaint of ankle pain who subsequently developed streptococcal toxic shock syndrome and multiorgan failure from a Group A streptococcus infection of the genitourinary tract. She was treated with antibiotics and medical management for her septic shock and required prone ventilation for her acute respiratory distress syndrome (ARDS) but eventually recovered without surgery. This case highlights the importance of recognizing unusual presentations of Group A Strep infections, which have the potential to lead to rapid deterioration in patients. Also described are antibiotic and ventilator strategies that can be used to treat these severe systemic infections.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos