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J Pediatr Surg. 2013 Jan;48(1):e1-3. doi: 10.1016/j.jpedsurg.2012.09.057.

Toxic shock syndrome due to group A beta-hemolytic streptococcus presenting with purpura fulminans and limb ischemia in a pediatric patient treated with early microsurgical arteriolysis.

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  • 1Department of Plastic Surgery, ULB Brussels University Hospital, Brussels, Belgium. m_daskalaki@hotmail.com

Abstract

We describe a 2.5 year-old child with toxic shock syndrome due to group A beta-hemolytic streptococcus (GABHS) who presented with purpura fulminans and limb ischemia treated with early microsurgical arteriolysis. The clinical picture of toxic shock syndrome (TSS) presenting with purpura fulminans and limb ischemia is an exceptionally uncommon finding in sepsis due to GABHS. This is the first case of purpura fulminans caused by GABHS reported in Europe and the third one described in the literature (Dhodapkar et al., 2000[1]; Renaud et a., 2011[2]).

Copyright © 2013 Elsevier Inc. All rights reserved.

PMID:
23331831
[PubMed - indexed for MEDLINE]
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