Annals of The Japanese Respiratory Society:Six cases of pneumonia resulting from <i>Streptococcus pyogenes</i> with special focus on a case of streptococcal toxic shock syndrome

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Case Report

Six cases of pneumonia resulting from Streptococcus pyogenes with special focus on a case of streptococcal toxic shock syndrome

Takashi Ishiguro^a Naho Kagiyama^a Asao Honda^b Kazuyoshi Kurashima^a Noboru Takayanagi^a

^aDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
^bSaitama Institute of Public Health

ABSTRACT

Six patients with pneumonia resulting from Streptococcus pyogenes were admitted to the Saitama Cardiovascular and Respiratory Center over 14 years from 2002 to the present time. These six patients included two over 65 years old, two with rheumatoid arthritis, one with idiopathic pulmonary fibrosis, and one with secondary bacterial pneumonia following influenza, with no sex predominance. Of the two patients who were severely ill on admission, one suffered from streptococcal toxic shock syndrome that caused the patient's death. Although S. pyogenes is a rare cause of pneumonia, pneumonia with streptococcal toxic shock syndrome can cause early deterioration, and respiratory physicians should recognize the importance of this infection.

KEYWORDS

Streptococcal toxic shock syndrome Streptococcus pyogenes Pneumonia Bacteremia

Received 31 Mar 2016 ／ Accepted 14 Jun 2016

AJRS, 5(5): 240-244, 2016

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