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  • Title: [Streptococcal toxic shock-like syndrome with necrotizing myositis].
    Author: Rhomberg M, Furtmüller F, Haidinger D, Nopp WH, Rieder-Scharinger J, Schobersberger W, Piza-Katzer H.
    Journal: Chirurg; 2000 Jul; 71(7):844-7. PubMed ID: 10986609.
    Abstract:
    Streptococcal toxic shocklike syndrome is caused by group A streptococci and characterized by multiorgan failure and soft-tissue necrosis, often in young patients with a bland history and at most a minor trauma. Diagnosis is reached through the clinical presentation, imaging methods and positive bacterial verification. The course is fulminant and in the case of muscle involvement, mortality reaches 80-100%. Therapy consists of immediate fasciotomy and often of debridement of affected soft tissues with high-dose antibiotics in intensive care. Sometimes an unconfirmed diagnosis must be sufficient to operate. We report the case of a 29-year-old man without an exceptional history who was forced to undergo thigh amputation, multiple soft-tissue debridements, and after a total of 240 erythrocyte concentrates, finally hip joint enucleation.
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