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Revista Médica La Paz
versión On-line ISSN 1726-8958
Resumen
CASTEL MERCADO, Joel Victor y PATINO, Erika. STREPTOCOCCALTOXIC SHOCK SYNDROME. Rev. Méd. La Paz [online]. 2012, vol.18, n.1, pp.33-37. ISSN 1726-8958.
Streptococcal toxic shock syndrome (STSS) was be defined as the presence of invasive infection byA group of Estreptococcus, associated to shock and multiorganic failure. It has mortality between 30 and 70 percent according to the publicized series and has been reported from 1 to 5 cases of 100000 inhabitants. It is a rapidly progressive infection that affects the skin, subcutaneous cellular tissue, superficial fascia and occasionally deep tissue, it can also produce hystic necrosis and severe systemic toxicity. We report the case of a 15 year-old patient with three days of clinical evolution before his hospitalization characterized by pain and phlogosis signs located in right iliac fossa, secondary to contusion in the region. It had a torpid evolution during the first days in hospital with soft tissue inflammation at the site of the bruising and pain associated with fever, chills, malaise, nausea, vomiting and diarrhea. The pain intensifies, the area of inflammation becomes to necrotic zone, finally the disease progresses to toxic shock and multiorganic failure.
Palabras clave : Streptococcal Toxic Syndrome; streptococus.