1/26. Severe invasive group A beta-hemolytic streptococcus infection complicating pharyngitis: a case report and discussion.Group A beta-hemolytic streptococcus (GABHS) has long been recognized as a deadly pathogen with manifestations ranging from impetigo to necrotizing fasciitis. bacteremia from streptococcal pharyngitis is a rare complication. We report a patient presenting with septic shock and diabetic ketoacidosis from streptococcal pharyngitis. The pathophysiology, classification, and treatment of invasive group A streptococcal infection is discussed.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
2/26. Toxic shock syndrome and streptococcal myositis: three case reports.Group A streptococcal (GAS) infection is the most common cause of bacterial pharyngitis and has an important role in the pathogenesis of post-infective phenomena including rheumatic fever and glomerulonephritis. mortality from GAS is uncommon, particularly in the paediatric population. Toxic shock syndrome reflects the most severe form of GAS-related disease and is often associated with fasciitis or myositis. CONCLUSION: We present three cases of toxic shock syndrome secondary to (GAS) myositis demonstrating the importance of early recognition and provision of intensive care management.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
3/26. Emergence of invasive group A streptococcal disease among young children.Eight cases of invasive group A streptococcal disease in young children were reported over a three-month period, February to April 1990. The spectrum of clinical disease included: pneumonia with bacteremia (two patients), osteomyelitis/septic arthritis (three patients), epiglottitis/supraglottitis (two patients), and sepsis without a focus (one patient). Three cases followed chicken pox. Three children were in shock at the time of presentation, including one child who had a toxic shock-like appearance. Only four children had pharyngitis. bacteremia was confirmed in three children and presumed in another three. All the subjects survived. Four isolates of group A streptococci were tested for exotoxin A, B, and C (A-0, B-4, C-1) production. These data confirm the reappearance of a highly invasive strain of group A streptococci capable of producing a variety of clinical diseases, including bacteremia and shock, in a significant proportion of victims.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
4/26. Overwhelming septic infection with a multi-resistant staphylococcus aureus (MRSA) after total knee replacement.INTRODUCTION: The incidence of early deep infection after arthroplasty of the knee is very low but could represent a serious future problem. MATERIAL AND methods: The authors report on a 71-year-old woman with gonarthritis who was supplied with a total knee endoprosthesis and developed a local infection followed by septic shock. RESULTS: The infection was evidently caused by a multiresistant staphylococcus aureus (Staph. aureus). The primary clinical signs closely resembled a necrotizing fasciitis. Systemic and local application of vancomycin led to an improvement of the symptoms at secondary sites, but only the amputation of the primarily infected leg was lifesaving. CONCLUSION: In order to prevent such events, the authors recommend a number of additional presurgical measures. Firstly, a swab from the nose and throat should be taken prior to an elective surgery in patients with elevated risk of immunodeficiency, for example in patients with diabetes. The diabetes should be adequately treated before an elective operation is undertaken. Secondly, an early punction of the knee joint should be carried out if there is any doubt regarding inflammation. Isolated infectious agents should be grounds for early revision, which should always be completed with a rinsing procedure and with adequate antibiotics. immunotherapy should be taken into consideration. Antiepidemic measures are recommended in cases with known Staph. aureus.- - - - - - - - - - ranking = 0.00097679887728779keywords = throat (Clic here for more details about this article) |
5/26. Primary peritonitis associated with streptococcal toxic shock-like syndrome: report of a case.Several reports over the past 15 years describe severe group A streptococcal infections causing septic shock, soft-tissue necrosis, and multiple organ failure; a phenomenon known as streptococcal toxic shock-like syndrome (TSLS). However, primary peritonitis associated with TSLS is rare. We report the case of a 40-year-old man admitted with pain in both thighs, hypotension, and severe abdominal pain. His daughter had been diagnosed with streptococcal pharyngitis 3 days earlier. We performed an emergency laparotomy for peritonitis, and culture of the ascites was positive for group A beta -hemolytic streptococcus (GAS). Further serotyping of the isolated GAS strain revealed the T-type 22 and the pyrogenic exotoxin gene, spe-C. The criteria for TSLS were clearly met, including the isolation of GAS from ascites, hypotension, liver failure, renal failure, coagulopathy, myositis, and a generalized erythematous macular rash with desquamation.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
6/26. Streptococcal toxic shock syndrome due to noninvasive pharyngitis.Serious infections due to group A beta-hemolytic streptococcus (GABHS) have been reported with increasing frequency in recent years. We report a case of toxic shock syndrome (TSS) due to GABHS pharyngitis in an otherwise healthy 14-year-old boy. The organism was found to produce toxin A. To our knowledge, this is the second reported case of streptococcal TSS associated with the production of toxin A that is not associated with an invasive disease and the first case associated with a documented rise in the level of antibody to the streptococcal toxin itself. Clinicians must be especially vigilant for this entity in patients who have streptococcal pharyngitis because early recognition and institution of aggressive supportive therapy can be lifesaving.- - - - - - - - - - ranking = 1keywords = pharyngitis (Clic here for more details about this article) |
7/26. Toxic shock syndrome associated with pharyngitis and submandibular space abscess.Toxic shock syndrome continues to be encountered more frequently with the head and neck areas as sources of the toxin. In head and neck surgery practice it is most commonly noted following nasal packing. An unusual case associated with staphylococcal pharyngitis and spontaneous submandibular space abscess is reported and the literature concerning the subject is reviewed. Treatment is eradication of the infective focus, aggressive support of vital functions, and parenteral antistaphylococcal antibiotics.- - - - - - - - - - ranking = 0.83333333333333keywords = pharyngitis (Clic here for more details about this article) |
8/26. scarlet fever can mimic toxic shock syndrome.We describe a patient who presented with a widespread erythematous rash, diarrhoea, confusion, pre-renal uraemia and hyponatraemia. The diagnosis of staphylococcal toxic shock syndrome seemed likely as she was menstruating and there was no evidence of pharyngitis. A rising ASO titre confirmed a streptococcal aetiology and thus 'toxic' scarlet fever. Toxic shock syndrome and toxic scarlet fever are compared.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
9/26. Toxic shock syndrome following diagnostic peritoneal lavage.We report the case of a 15-year-old girl who developed high fever, syncope, abdominal pain, nausea and vomiting, myalgia, pharyngitis, and a desquamating rash eight days after a diagnostic peritoneal lavage. The diagnostic peritoneal lavage wound was erythematous and tender. Incision of the site yielded 10 mL of exudate that cultured staphylococcus aureus. The patient was treated with a first-generation cephalosporin and recovered without sequelae. To our knowledge, this is the first reported case of toxic shock syndrome following diagnostic peritoneal lavage.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
10/26. Toxic shock syndrome: odontogenic origin.Although the majority of reported cases of toxic shock syndrome (TSS) in the united states continue to be associated with tampon use, TSS also occurs in postpartum women and in patients with pharyngitis, infected surgical wounds, cutaneous and subcutaneous infections, and infections of other body sites. The article presents the case of a 23-year-old black man in whom TSS developed secondary to an odontogenic infection.- - - - - - - - - - ranking = 0.16666666666667keywords = pharyngitis (Clic here for more details about this article) |
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