Abstract
We describe a patient with Streptococcus pneumoniae sinusitis associated with a severe sepsis syndrome and desquamative rash whose clinical illness strongly resembled toxic-shock syndrome. Assay of convalescent serum for antibodies to toxic-shock syndrome toxin 1 was negative. This case suggests the possibility of an additional bacterial pathogen associated with toxic-shock syndrome.
MeSH terms
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Adult
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Female
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Humans
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Pneumococcal Infections / diagnosis
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Pneumococcal Infections / physiopathology*
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Shock, Septic / diagnosis
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Shock, Septic / etiology
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Sinusitis / complications*
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Sinusitis / microbiology*
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Streptococcus pneumoniae / isolation & purification*
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Systemic Inflammatory Response Syndrome / diagnosis
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Systemic Inflammatory Response Syndrome / etiology
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Systemic Inflammatory Response Syndrome / physiopathology*