Streptococcal toxic shock syndrome complicating varicella in children

Yao Jong Yang, Ching Chuan Liu, Shih Min Wang, Chao Ching Huang, Jiunn Jong Wu

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The most common complication in children with varicella is cutaneous superimposed infection with pyogenic bacteria. Group A β-hemolytic streptococci, which are known to cause life-threatening infections in both previously healthy children and those with underlying diseases, are the most frequently associated pathogens. A newly recognized disease, called streptococcal toxic shock syndrome, is associated with severe morbidity and mortality. We report a 3-year-old boy with a diagnosis of this syndrome who presented with increasing fever, vomiting, and lethargy 7 days after the development of a classic varicella skill lesion. In spite of aggressive fluid supply, administration of inotropic agents, and cardiopulmonary resuscitation, a rapidly deteriorating clinical course led to death 4 hours after hospitalization. This is the first report of this association in Taiwan. Pediatricians evaluating children with varicella must be mindful of the potential for Group A β-hemolytic streptococcal infection.

Original languageEnglish
Pages (from-to)749-753
Number of pages5
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume96
Issue number9
Publication statusPublished - Sep 1997
Externally publishedYes

Fingerprint

Chickenpox
Septic Shock
Streptococcal Infections
Lethargy
Cardiopulmonary Resuscitation
Infection
Streptococcus
Taiwan
Vomiting
Hospitalization
Fever
Morbidity
Bacteria
Skin
Mortality

Keywords

  • Group A β-hemolytic streptococci
  • Streptococcal toxic shock syndrome
  • Varicella

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Streptococcal toxic shock syndrome complicating varicella in children. / Yang, Yao Jong; Liu, Ching Chuan; Wang, Shih Min; Huang, Chao Ching; Wu, Jiunn Jong.

In: Journal of the Formosan Medical Association = Taiwan yi zhi, Vol. 96, No. 9, 09.1997, p. 749-753.

Research output: Contribution to journalArticle

Yang, Yao Jong ; Liu, Ching Chuan ; Wang, Shih Min ; Huang, Chao Ching ; Wu, Jiunn Jong. / Streptococcal toxic shock syndrome complicating varicella in children. In: Journal of the Formosan Medical Association = Taiwan yi zhi. 1997 ; Vol. 96, No. 9. pp. 749-753.
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