What is streptococal shock syndrome?

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Clinical Symptoms:- Pain the most common initial symptom of streptococcal TSS is abrupt in onset and severe, and usually precedes tenderness or physical findings. The pain usually involves an extremity but may also mimic peritonitis,pelvic inflammatory disease, pneumonia, acute myocardial infarction, or pericarditis. Twenty percent of patients have an influenza-like syndrome characterized by fever, chills, myalgia, nausea, vomiting, and diarrhea (8). Fever is the most common early sign, although hypothermia may be present in patients with shock. Confusion is present in 55% of patients, and in some, coma or combativeness is manifest (8). Eighty percent of patients have clinical signs of soft tissue infection, such as localized swelling and erythema, which in 70% of patients progressed to necrotizing fasciitis or myositis and required surgical debridement, fasciotomy or amputation (8). An ominous sign is the progression of soft tissue swelling to the formation of vesicles, then bullae, which appear violaceous or bluish. In such patients, emergent surgical exploration should be performed to establish the diagnosis and distinguish GAS infection from other necrotizing soft tissue infections. Among the 20% of patients without soft tissue findings, clinical symptoms include endophthalmitis, myositis, perihepatitis, peritonitis, myocarditis, and overwhelming sepsis. A diffuse, scarlatina-like erythema occurs in only 10% of patients. Nearly 50% of patients may have normal blood pressure (systolic pressure >110 mm Hg) on admission but develop hypotension within the subsequent 4 hours.

Streptococcal toxic-shock syndrome (streptococcal TSS) is an acute disease mediated by the production of superantigenic toxins characterized by the sudden onset of fever and other febrile symptoms, pain, multisystem organ involvement and potentially leading to coma, shock and death due to a Streptococcus pyogenes infection. The prognosis varies, with streptococcal TSS having a mortality rate of 30-80% in adults and 5-8% in children.

STREPTOCOCCAL TOXIC SHOCK SYNDROME.......CAUSED. BY GROUP. A... STREPTOCOCCUS. BACTERIA.... USUALLY.... AFTER. SKIN. INFECTION CHILD. BIRTH POST. SURGERIES...

IT IS A.. SYNDROME CAUSED BY.. A..STREPTOCOCCAL BACTERIA.. * TSS .. MAIN SYMPTOMS .. HIGH FEVER.. LOW BP.. VOMITING.. SKIN RASH.. LOW URINE OUTPUT..

Tnx Dr Vipin Bihari Jain
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It is septicaemia causing shock Mainly due to streptococcus infection High fever, low fever, Rash and vomiting Oligurea etc

This is a toxic condition which occur due to cross infection by the bacteria... Post surgery/skin infection/parturition

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