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Korean J Med > Volume 88(5); 2015 > Article
호흡기
The Korean Journal of Medicine 2015;88(5): 576-580.
그룹 A 연쇄구균 폐렴에 동반된 독성쇼크증후군 1예
고성준, 곽낙원, 김주혜, 배원, 이하연, 김연욱, 윤호일
서울대학교 의과대학 분당서울대학교병원 호흡기내과
A Case of Streptococcal Toxic Shock Syndrome Caused by Group A Streptococcus Pneumonia
Sung-Jun Ko, Nakwon Kwak, Joo Hae Kim, Won Bae, Hayoun Lee, Yeon Wook Kim, Ho Il Yoon
Division of Pulmonology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
Corresponding Author: Ho Il Yoon ,Tel: +82-31-787-7036, Fax: +82-31-787-4052, Email: dextro70@gmail.com
Received: June 11, 2014;   Revised: August 14, 2014;   Accepted: September 3, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Streptococcal toxic shock syndrome (TSS) is characterized clinically by shock and multiple organ failure, combined with invasive group A streptococcus (GAS) infection. Invasive GAS infection declined with the introduction of modern antibiotics, but has recently arisen again globally with severe presentations like TSS. Cases of streptococcal TSS have been reported in Korea since the 1990s and its prevalence may increase. We report the first case of GAS pneumonia initially presenting as streptococcal TSS, as a warning that this potentially fatal illness requires an early diagnosis and prompt treatment when patients with pneumonia develop shock and multiple organ failure.
Keywords: Toxic shock syndrome; Pneumonia; Streptococcus pyogenes
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