Salvo I, Torri G, Silvani P, Casati A, Presti F, Vaiani R
Cattedra di Anestesiologia e Rianimazione, Università degli Studi di Milano.
Minerva Anestesiol. 1994 Apr;60(4):203-6.
Toxic shock-like syndrome (TSLS) due to Streptococcus pyogenes has been recently reported in both children and adults. This syndrome is characterized by hypotension or shock, fever, multiorgan system involvement and death in 30 to 60% of patients. This syndrome closely resembles the more frequent staphylococcal TSLS. Only one case of TSLS caused by streptococcus has been reported, up to now, in our Country. We describe a second case of fatal streptococcus pyogenes TSLS in a 64-year-old man, in which the site of infection was in the soft tissues. The illness was characterized by rapid progression of shock, erythematous rash, multisystem organ involvement and finally death. Clinicians must be aware of the presentation of this disease as its incidence appears to be increasing.
近来，儿童和成人中均有因化脓性链球菌引发中毒性休克样综合征（TSLS）的报道。该综合征的特征为低血压或休克、发热、多器官系统受累，30%至60%的患者会死亡。此综合征与更为常见的葡萄球菌性TSLS极为相似。截至目前，我国仅报道过一例由链球菌引起的TSLS。我们在此描述第二例致命的化脓性链球菌TSLS病例，患者为一名64岁男性，感染部位在软组织。该疾病的特点是休克迅速进展、出现红斑皮疹、多系统器官受累，最终导致死亡。临床医生必须对这种疾病的表现有所认识，因为其发病率似乎在上升。
