• Internal medicine · Apr 2024

    Case Reports

    Streptococcal Toxic Shock Syndrome caused by Streptococcus dysgalactiae subsp. equisimilis-related Empyema: A Novel Case Report.

    • Kazuhiko Iwasaki, Ryo Okino, Akihito Okazaki, and Masa-Aki Kawashiri.
    • Department of Internal Medicine, Kaga Medical Center, Japan.
    • Intern. Med. 2024 Apr 1; 63 (7): 102110251021-1025.

    AbstractStreptococcal toxic shock syndrome (STSS) caused by Streptococcus dysgalactiae subsp. equisimilis (SDSE)-related empyema is rare but can result in shock vitals, acute kidney injury, and extensive erythema. In the present case, a 92-year-old woman with empyema caused by SDSE developed STSS after pleural drainage and antibiotic therapy. Despite temporary improvement with clindamycin and pleural drainage, the patient ultimately died due to malnutrition. Autopsy findings suggested that the infection was well controlled, but infections with Streptococcus spp., including SDSE, can trigger STSS in patients with empyema.

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