Bartter T, Dascal A, Carroll K, Curley F J
Division of Pulmonary and Critical Care Medicine, University of Massachusetts Medical School, Worcester.
Arch Intern Med. 1988 Jun;148(6):1421-4. doi: 10.1001/archinte.148.6.1421.
Three patients presented with multisystem disease that shared many of the features of toxic shock syndrome. Bacteriologic and serologic evidence strongly suggested that group A beta-hemolytic Streptococcus had caused the illnesses. Group A streptococcal infection may be an underdiagnosed cause of a toxic streptococcal syndrome, a syndrome of multisystem disease apparently mediated by toxins.
