Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia
Viridians streptococcal shock syndrome is a subtype of toxic shock syndrome. Frequently, the diagnosis is missed initially because the clinical features are nonspecific. However, it is a rapidly progressive disease, manifested by hypotension, rash, palmar desquamation, and acute respiratory distress...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2016/9463895 |
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| author | Chen-Yi Liao Kuan-Jen Su Cheng-Hui Lin Shu-Fang Huang Hsien-Kuo Chin Chin-Wen Chang Wu-Hsien Kuo Ren-Jy Ben Yen-Cheng Yeh |
| author_facet | Chen-Yi Liao Kuan-Jen Su Cheng-Hui Lin Shu-Fang Huang Hsien-Kuo Chin Chin-Wen Chang Wu-Hsien Kuo Ren-Jy Ben Yen-Cheng Yeh |
| author_sort | Chen-Yi Liao |
| collection | DOAJ |
| description | Viridians streptococcal shock syndrome is a subtype of toxic shock syndrome. Frequently, the diagnosis is missed initially because the clinical features are nonspecific. However, it is a rapidly progressive disease, manifested by hypotension, rash, palmar desquamation, and acute respiratory distress syndrome within a short period. The disease course is generally fulminant and rarely presents initially as a purpura over the plantar region. We present a case of a 54-year-old female hospital worker diagnosed with viridians streptococcal shock syndrome caused by Streptococcus gordonii. Despite aggressive antibiotic treatment, fluid hydration, and use of inotropes and extracorporeal membrane oxygenation, the patient succumbed to the disease. Early diagnosis of the potentially fatal disease followed by a prompt antibiotic regimen and appropriate use of steroids are cornerstones in the management of this disease to reduce the risk of high morbidity and mortality. |
| format | Article |
| id | doaj-art-cc2d320fa0a247489236259f38b2b4b4 |
| institution | DOAJ |
| issn | 1712-9532 1918-1493 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-cc2d320fa0a247489236259f38b2b4b42025-08-20T03:19:32ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932016-01-01201610.1155/2016/94638959463895Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii BacteremiaChen-Yi Liao0Kuan-Jen Su1Cheng-Hui Lin2Shu-Fang Huang3Hsien-Kuo Chin4Chin-Wen Chang5Wu-Hsien Kuo6Ren-Jy Ben7Yen-Cheng Yeh8Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Cardiovascular Surgery, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanDepartment of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, TaiwanViridians streptococcal shock syndrome is a subtype of toxic shock syndrome. Frequently, the diagnosis is missed initially because the clinical features are nonspecific. However, it is a rapidly progressive disease, manifested by hypotension, rash, palmar desquamation, and acute respiratory distress syndrome within a short period. The disease course is generally fulminant and rarely presents initially as a purpura over the plantar region. We present a case of a 54-year-old female hospital worker diagnosed with viridians streptococcal shock syndrome caused by Streptococcus gordonii. Despite aggressive antibiotic treatment, fluid hydration, and use of inotropes and extracorporeal membrane oxygenation, the patient succumbed to the disease. Early diagnosis of the potentially fatal disease followed by a prompt antibiotic regimen and appropriate use of steroids are cornerstones in the management of this disease to reduce the risk of high morbidity and mortality.http://dx.doi.org/10.1155/2016/9463895 |
| spellingShingle | Chen-Yi Liao Kuan-Jen Su Cheng-Hui Lin Shu-Fang Huang Hsien-Kuo Chin Chin-Wen Chang Wu-Hsien Kuo Ren-Jy Ben Yen-Cheng Yeh Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia |
| title_full | Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia |
| title_fullStr | Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia |
| title_full_unstemmed | Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia |
| title_short | Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to Streptococcus gordonii Bacteremia |
| title_sort | plantar purpura as the initial presentation of viridians streptococcal shock syndrome secondary to streptococcus gordonii bacteremia |
| url | http://dx.doi.org/10.1155/2016/9463895 |
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