Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan

Abstract EN

Background.

Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus.

It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours.

TSLS presenting as primary peritonitis is rare, especially in a male.

Herein, we report a case of TSLS in a male presenting with primary peritonitis, with a review of 25 cases in Japan.

Case Presentation.

A 51-year-old male was referred to our hospital with abdominal pain and hypotension.

We made a preoperative diagnosis of peritonitis with septic shock and performed an emergency operation.

Intraoperative findings indicated no marked origin of the peritonitis.

Preoperative blood culture showed the presence of group A hemolytic streptococcus.

The patient required intensive care involving artificial respiration, abdominal drainage and cytokine absorption therapy, and was discharged on postoperative day 25.

Conclusion.

TSLS in a male presenting as primary peritonitis is rare.

Although this condition is a severe infection, it can be treated by multimodal therapy.