Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

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pISSN 2288-0585 eISSN 2288-6850

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

Case report

Annals of Clinical Microbiology (Ann Clin Microbiol) 2014 September, Volume 17, Issue 3, pages 91-94.

https://doi.org/10.5145/ACM.2014.17.3.91

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

Bo Ra Son, Kyeong Seob Shin

Department of Laboratory Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea

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. (Ann Clin Microbiol 2014;17:91-94)

Keywords

Liver cirrhosis, Streptococcus agalactiae, Toxic shock syndrome