Multi-Organ Failure in a Previously Healthy 10-Year-Old Boy: Streptococcal Toxic Shock Syndrome (STSS) - a Rare Differential Diagnosis

作者：Meedt B^*; Gharavi B; Imoehl M; Becker J C

来源：Klinische Padiatrie, 2010, 222(5): 310-311.

DOI：10.1055/s-0030-1254112

• STSS
• streptococcal toxic shock syndrome
• sepsis
• multi-organ failure

Streptococcal Toxic Shock Syndrome (STSS) is a severe toxin-mediated disease with acute onset. A previously healthy 10-year-old boy presented with abdominal pain, vomiting, diarrhoea and fever for 3 days. He was admitted with signs of an acute abdomen. A treatment with ibuprofen had been started before admission. The child developed a multi-organ failure with persistent hematuria, persistent fever, ascites, pericardial and pleural effusions. Intensive microbial and viral analysis did not result in any relevant finding. Detection by PCR of DNA of the streptococcal super-antigens speM and speL supported the diagnosis of STSS. After an intensive-care treatment of 4 weeks according to international critical-care guidelines the child could be discharged without residuals.

• 出版日期2010-9
• 单位河北医科大学