Streptococcus pyogenes and the Toxic Shock Syndrome
Authors: VĚRA HŘÍBALOVÁ
Journal: Annals of Internal Medicine (1988)

Letters and Corrections1 May 1988Streptococcus pyogenes and the Toxic Shock SyndromeVĚRA HŘÍBALOVÁVĚRA HŘÍBALOVÁSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-5-772_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Willoughby and Greenberg (1) have suggested that Streptococcus pyogenes produces toxins that have biological properties similar to the toxin of the toxic shock syndrome. Indeed, in two recent cases of toxic shock syndrome, Streptococcus pyogenes was the only pathogenic organism isolated (2). I describe the first such case reported in the Chechoslovakian medical literature in 1984 (3).A 37-year-old woman was hospitalized for advanced peritonitis. Sixteen hours after surgical intervention, she had a severe hypotensive shock reaction. She had all the characteristic symptoms of toxic shock syndrome, except mucous membrane hyperemia. Microbiologic examination of 25 samples taken...References1. WILLOUGHBYGREENBERG RR. The toxic shock syndrome and streptococcal pyrogenic exotoxins [Letter]. Ann Intern Med. 1983;98:559. LinkGoogle Scholar2. CONEWOODARDSCHLIEVERTTOMORY LDPG. Clinical and bacteriologie observations of a toxic shock-like syndrome due to Streptococcus pyogenes. N Engl J Med. 1987;317:146-9. CrossrefMedlineGoogle Scholar3. FANTADRABKOVAREHAKSMATVOTOCEKFRANKOVA JJFVJV. Primary peritonitis imitating the toxic shock syndrome (TSS). Prakt Lek (Prague). 1984;64:674-6. Google Scholar4. SHANDSSCHMIDDAN KGB. Toxic shock syndrome in menstruating women: association with tampon use and Staphylococcus aureus and clinical features in 52 cases. N Engl J Med. 1980;303:1436-42. CrossrefMedlineGoogle Scholar5. REINGOLDHARGRETTSHANDS ANK. Toxic shock syndrome surveillance in the United States, 1980 to 1981. Ann Intern Med. 1982;96(part 2):875-80. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. 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Greenberg, MD 1 May 1988Volume 108, Issue 5Page: 772-772KeywordsMucous membranesPathogensPeritonitisShockStreptococcus pyogenesToxic shock syndromeToxins ePublished: 1 December 2008 Issue Published: 1 May 1988 PDF downloadLoading ...