A Fatal Case of Streptococcal Toxic Shock Syndrome due to Streptococcus dysgalactiae subsp equisimilis Possibly Caused by an Intramuscular Injection

作者：Hagiya Hideharu^*; Okita Shunji; Kuroe Yasutoshi; Nojima Hiroyoshi; Otani Shinkichi; Sugiyama Junichi; Naito Hiromichi; Kawanishi Susumu; Hagioka Shingo; Morimoto Naoki

来源：Internal Medicine, 2013, 52(3): 397-402.

DOI：10.2169/internalmedicine.52.8846

• streptococcal toxic shock syndrome (STSS)
• streptococcus dysgalactiae subsp
• equisimilis
• group G streptococcus (GGS)
• intramuscular injection
• sepsis

An 88-year-old man died of streptococcal toxic shock syndrome due to a group G streptococcus infection that was possibly caused by an intramuscular injection given 30 hours earlier in his right deltoid muscle. The causative pathogen was later identified to be Streptococcus dysgalactiae subsp. equisimilis (stG485). Although providing intramuscular injections is an essential skill of health care workers that is performed daily worldwide, it may constitute a port of entry for pathogens via skin breaches that can cause life-threatening infections. All invasive procedures should be carefully performed, especially when immunologically compromised patients are involved.

• 出版日期2013