TY - JOUR
T1 - Transmission of 'Toxic Strep' syndrome from an infected child to a firefighter during CPR
AU - Valenzuela, Terence D.
AU - Hooton, Thomas M.
AU - Kaplan, Edward L.
AU - Schlievert, Patrick
PY - 1991/1
Y1 - 1991/1
N2 - Several cases of a toxic shocklike syndrome have been reported in the United States during the past five years in association with Streptococcus pyogenes infection. We report a case of a firefighter exposed during attempted CPR to the secretions of an S pyogenes-infected child. The firefighter developed an infection of the hand and subsequent febrile illness with hypotension, erythematous rash, renal failure, and hypocalcemia. Bacterial isolates of blood and cerebrospinal fluid from the deceased child were identical in type and exotoxin production with isolates grown from the hand wound of the firefighter. This is the first reported case of documented transmission of S pyogenes causing a toxic shocklike syndrome in an emergency medical technician.
AB - Several cases of a toxic shocklike syndrome have been reported in the United States during the past five years in association with Streptococcus pyogenes infection. We report a case of a firefighter exposed during attempted CPR to the secretions of an S pyogenes-infected child. The firefighter developed an infection of the hand and subsequent febrile illness with hypotension, erythematous rash, renal failure, and hypocalcemia. Bacterial isolates of blood and cerebrospinal fluid from the deceased child were identical in type and exotoxin production with isolates grown from the hand wound of the firefighter. This is the first reported case of documented transmission of S pyogenes causing a toxic shocklike syndrome in an emergency medical technician.
KW - Streptococcus pyogenes
KW - toxic shock syndrome, emergency medical technician
UR - http://www.scopus.com/inward/record.url?scp=0026020838&partnerID=8YFLogxK
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U2 - 10.1016/S0196-0644(05)81129-1
DO - 10.1016/S0196-0644(05)81129-1
M3 - Article
C2 - 1984738
AN - SCOPUS:0026020838
SN - 0196-0644
VL - 20
SP - 90
EP - 92
JO - Annals of emergency medicine
JF - Annals of emergency medicine
IS - 1
ER -