Abstract
Background
Streptococcal toxic shock syndrome (STSS) is diagnosed based on signs of shock with
multiorgan system involvement, a generalized erythematous macular rash, and rapidly
progressive and destructive soft tissue infection.
Case Report
The patient was a 2-year-old girl with intramuscular venous malformation in the neck
in which an infection occurred, developing into STSS.
Why Should an Emergency Physician Be Aware of This?
Group A streptococcal infections are common in children and usually have a mild clinical
presentation, but may be life threatening in severe cases. Patients with venous malformations
are known to have slow-flow anomalies with venous pooling, which can result in hypoxia
and possible immune cell dysfunction. Thus, clinicians should be aware of STSS when
a patient with venous malformation has a rapidly progressive infection.
Keywords
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References
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Article info
Publication history
Published online: July 22, 2022
Accepted:
July 9,
2022
Received in revised form:
June 10,
2022
Received:
April 15,
2022
Footnotes
A written informed consent for publication of this case was obtained from the patient's parents.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
