All issues > Volume 44(2); 2001

Case Report

J Korean Pediatr Soc. 2001;44(2):200-204. Published online February 15, 2001.

A Case of Streptococcal Toxic Shock Like Syndrome with Pleural Effusion

Jinyoung JY Song¹, Keunha KH Ji¹, Heeseuk HS Kim¹, Jungwoo JW Rhoo¹, Dongwook DW Kim¹, Jongkook JK Lee¹

¹Department of Pediatrics, College of Medicine, Inje University, Ilsanpaik Hospital, Ilsan, Korea

Correspondence Jinyoung JY Song ,Email: amyiy@ilsanpaik.ac.kr

Abstract

Streptococcal toxic shock like syndrome is a rapidly progressive and a fatal disease like staphylococcal toxic shock syndrome. In spite of the wide expansion and development of potent antibiotics, streptococcal infection still threatens human being. Recently we experienced a patient with toxic shock like syndrome who was suffered from fever and neck pain with rapid progression to hypotension and multiorgan failure. Streptococcus pyogenes was proven in his throat culture which was done on admission. Pleural effusion and suspicious carditis with aortic and mitral valve regurgitation were examined on the third hospital day. He was treated successfully with antibiotics but we wanted to emphasize potentially fatal streptococcal toxic shock like syndrome in pediatric patients.

Keywords :Toxic shock like syndrome, Streptococcus pyogenes, Pleural effusion, Carditis