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Streptococcal Toxic Shock Syndrome

This is a rapidly expanding condition that may be fatal. It produces fever, shock and organ failure associated with soft tissue infection.

It most commonly occurs in healthy people, young adults to midlife. There is usually some disruption of the skin protective mechanism allowing the introduction of Streptococcus. Initially there is significant pain, often in the extremities. There is swelling, tenderness, and redness that occurs. This may be associated with blistering. The infection sometimes becomes deeper affecting muscles and fascia. The shock and organ failure may develop with two to three days.

The organism involved is usually a Group A streptococcus.


General support for the internal organs is required.Oral antibiotics such as Clindamycin will be used. This aggressive intensive care is required.

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