Severe group A streptococcal toxic shock syndrome presenting as primary peritonitis: a case report and brief review of the literature

Research output: Contribution to journalArticleAcademicpeer-review

31 Citations (Scopus)


Streptococcal toxic shock syndrome (STSS) can be defined as a septic shock syndrome resulting from infection with toxin-producing group A streptococci (GAS). STSS can sporadically present as primary peritonitis in previously healthy persons. Signs of STSS are non-specific and patients generally present with flu-like symptoms and can develop a life-threatening toxic shock syndrome in just a few hours. Diagnosis is mainly by a combination of physical examination, laboratory/culture results, and exclusion of surgical causes by means of imaging modalities and/or surgical exploration. GAS remain penicillin-sensitive and most are clindamycin-sensitive. Prompt supportive treatment, possibly together with high-dose intravenous immunoglobulins, is crucial. (C) 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)E208-E212
JournalInternational Journal of Infectious Diseases
Publication statusPublished - 2010

Research programs

  • EMC COEUR-09
  • EMC MM-04-28-04

Cite this