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KMID : 0882420150880050576
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Korean Journal of Medicine
2015 Volume.88 No. 5 p.576 ~ p.580
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A Case of Streptococcal Toxic Shock Syndrome Caused by Group A Streptococcus Pneumonia
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Ko Sung-Jun
Kwak Nak-Won
Kim Joo-Hae
Bae Won
Lee Ha-Youn
Kim Yeon-Wook
Yoon Ho-Il
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Abstract
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Streptococcal toxic shock syndrome (TSS) is characterized clinically by shock and multiple organ failure, combined with invasive group A streptococcus (GAS) infection. Invasive GAS infection declined with the introduction of modern antibiotics, but has recently arisen again globally with severe presentations like TSS. Cases of streptococcal TSS have been reported in Korea since the 1990s and its prevalence may increase. We report the first case of GAS pneumonia initially presenting as streptococcal TSS, as a warning that this potentially fatal illness requires an early diagnosis and prompt treatment when patients with pneumonia develop shock and multiple organ failure.
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KEYWORD
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Toxic shock syndrome, Pneumonia, Streptococcus pyogenes
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