Streptococcus Toxic Shock Syndrome Due to Non Haemolytic Streptococcus pyogenes
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 22, Issue 12
Abstract
Aim: Describe the detection of an unusual pathogen associated with a common clinical presentation with abrupt worsening. Case Presentation: We present the case of a 36-year-old Peruvian male who presented to the Emergency Department with a 24-hour history of fever, nausea, vomits and diarrhea. He received intravenous hydration and antibiotics. In the next eight hours he became toxic and developed septic shock. Despite intensive vasopressor therapy and broad-spectrum antibiotics, patient died of multiorganic failure within the first 48 hours. The first blood culture was positive for Streptococcus pluranimalium, but subsequent molecular testing of the strain showed non-beta-haemolytic Streptococcus pyogenes. Discussion: Streptococcus pluranimalium is a gram positive cocci isolated from organ samples of different animals. It has been described few cases of this bacteria causing human infection. We discuss the similarities and differences between the reported cases and our findings. Surprisingly, after using more advanced tests, the isolated strain was identify as a non-beta-haemolytic Streptococcus pyogenes. Conclusion: The detection of uncommon human pathogens in challenging clinical scenarios requires an early and accurate typification.
Authors and Affiliations
Jorge Soria, Alfredo Guillen, Leslie Soto
Keywords
Related Articles
- EP ID EP311991
- DOI 10.9734/JAMMR/2017/35171
- Views 43
- Downloads 0
Spontaneous Twin Ectopic Pregnancy with Live Embryos: A Case Report
Ectopic pregnancy is a challenging medical emergency that can be easily misdiagnosed. Early diagnosis is essential in ectopic pregnancy since it may be a life-threatening clinical entity if it is misdiagnosed and rupture...
Knowledge and Beliefs Regarding Contraception among Married Women in Gwagwalada, Abuja, Nigeria
Inadequate knowledge and misconceptions on contraception has sustained the low prevalence of contraceptive use in Nigeria over the years. Aim: This study aims to assess the knowledge and beliefs regarding contraception...
Assessment of the Knowledge and Utilization of the Partograph among Non-physician Obstetric Care Givers in the University of Calabar Teaching Hospital, Calabar, Nigeria
Background: Obstructed labour and ruptured uterus contribute a significant proportion to the alarming maternal mortality ratio in sub-Saharan Africa. Proper management of labour by using the partograph, a simple tool tha...
The White Coat and the Physician; a Snapshot of the Physicians’ Perspective
Background: The white coat is synonymous with medical profession and helps for easy identification by patients and colleagues. Objectives: The objective of this study is to determine doctors’ perception on mode of dressi...
Steatocystoma Multiplex Limited to the Vulva: Report of a Very Rare Case Successfully Treated by a Simple Surgical Method
Aim: Steatocystoma multiplex (SM) is a rare malformation characterized by multiple cutaneous cystic lesions containing oily substance. SM has autosomal dominant mode of inheritance, though there are a significant number...