Kain K C, Noble M A, Barteluk R L, Tubbesing R H
Division of Medical Microbiology, University of British Columbia, Vancouver, Canada.
J Emerg Med. 1991 Jan-Apr;9(1-2):33-5. doi: 10.1016/0736-4679(91)90529-o.
Arcanobacterium hemolyticum infections are a common cause of pharyngitis and rash in the 10- to 30-year-old age group. Despite its prevalence, many emergency and primary care physicians may not be aware of the pathogenic potential of this organism. We present a case that illustrates the distinctive clinical spectrum of A. hemolyticum infections that may be confused with drug allergy, group A streptococcal scarlet fever, diphtheria, and even toxic shock syndrome. Recognition of this syndrome will reduce misdiagnoses and facilitate appropriate treatment.
