Pediatr. praxi. 2017;18(1):59-63 | DOI: 10.36290/ped.2017.012

Streptococcus pyogenes as a cause of toxic shock syndrome

MUDr. Radka Drápalová¹, prof. MUDr. František Kopřiva, Ph.D.¹, MUDr. Lenka Šigutová¹, MUDr. Vratislav Smolka¹, MUDr. Kamila Michálková², MUDr. Petr Kamínek, Ph.D.³

1Dětská klinika LF a FN v Olomouci, 2Radiologická klinika LF a FN v Olomouci, 3Ortopedická klinika LF a FN v Olomouci

Toxic shock syndrome is a serious disease that can be caused by Streptococcus pyogenes. Symptoms of toxic shock syndrome are

not very specific at first, so it is not taken into account in differential diagnosis. We present a case report of an eight-year-old girl

with the toxic shock syndrome, who was admitted to Department of Pediatrics with a pain of lower limb and fever. The expansion

of size 6.5 x 5 cm in the right gluteal region of unclear etiology was found during the ultrasound examination. The health condition

of the patient got worse during a few hours and developed into the shock with multi-organ failure. Streptococcus pyogenes, type

emm 28, was confirmed from blood culture and fluid from gluteal expansion.

Keywords: toxic shock syndrome, Streptococcus pyogenes, invasive group A streptococcal infections

Published: April 4, 2017  Show citation