Psoriasis induced toxic shock-like syndrome mimicking hemolytic uremic syndrome

Introduction: Over the past decade the incidence of invasive group A streptococcal infections causing streptococcal toxic shock syndrome (STSS) or toxic shock like syndrome has been increasing. Group A streptococcus (Streptococcus pyogenes) can cause several different conditions including simple cases such as pharyngitis to severe cases involving bacteremia. Case Report: A 37-year-old female with history of dilated cardiomyopathy and psoriasis presenting with multiple episodes of watery diarrhea, multiorgan dysfunction, septic shock with an unclear underlying etiology later found to be secondary to toxic shock-like syndrome. Conclusion: The mortality rate associated with toxic shock-like syndrome has been found to be high and a patient normally presents with signs of high fever, hypotension, liver injury, acute renal failure, coagulopathy, and at times soft tissue infection. It can be a difficult diagnosis to make as it can involve multi-organ dysfunction and as cultures are not readily available at time of presentation; its awareness needs to be differentiated to that of other conditions such as hemolytic uremic syndrome (HUS).

並列關鍵字

Hemolytic uremic syndrome ； Psoriasis ； Toxic shock-like syndrome ； Streptococcal pyogenes

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