Abstract

AMAYA DIAZ DE LEON, Itzel Oralia  and  DIAZ CONDE, Marcelo. Toxic shock syndrome caused by Streptococcus in a hospital from the Mexico City. Med. crít. (Col. Mex. Med. Crít.) [online]. 2019, vol.33, n.6, pp.334-339.  Epub July 30, 2021. ISSN 2448-8909.

Streptococcal toxic shock syndrome was first described by Todd and collaborators in 1978, this syndrome includes hypotension, traces of cellular dysoxia, isolation Streptococcus pyogenes; as well as two or more of the following criteria: acute respiratory distress syndrome, renal failure, liver abnormality, coagulopathy, skin rash with necrosis flaking of soft tissues. It is a relatively rare disease among children and adults, representing a high mortality ranging from 23 to 70%. In more than half of the cases the cause of entry of this pathogen into the bloodstream is unknown, although patients with alcoholism, on the edge of death, with splenectomy, with comorbidities (chronic kidney disease, liver failure, leukemia) are more susceptible to infection, to acquire severe infections and shock. Cutaneous infections usually are followed by minor skin irritations (insect bites), 20% of the cases experience a flu-like syndrome (fever, chills, myalgia and diarrhea). In patients who develop deep soft tissue infections such as necrotizing fasciitis or intrauterine infection, the severe pain is the most common initial symptom of streptococcal TSS.

Keywords : Streptococcal toxic shock syndrome; Streptococcus; Streptococcus pyogenes; necrotizing fasciitis; human immunoglobulin.

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