Streptococcal toxic shock syndrome associated with necrotizing fasciitis.

  title={Streptococcal toxic shock syndrome associated with necrotizing fasciitis.},
  author={Dennis Leroy Stevens},
  journal={Annual review of medicine},
Streptococcal toxic shock syndrome (strep TSS) with associated necrotizing fasciitis is a rapidly progressive process that kills 30-60% of patients in 72-96 h. Violaceous bullae, hypotension, fever, and evidence of organ failure are late clinical manifestations. Thus, the challenge to clinicians is to make an early diagnosis and to intervene with aggressive fluid replacement, emergent surgical debridement, and general supportive measures. Superantigens such as pyrogenic exotoxin A interact with… CONTINUE READING


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