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J Med Microbiol 55 (2006), 953-956; DOI: 10.1099/jmm.0.46507-0
© 2006 Society for General Microbiology
ISSN 1473-5644

Case Report

Acute peritonitis and salpingitis associated with streptococcal toxic shock syndrome caused by Lancefield group G {alpha}-haemolytic Streptococcus dysgalactiae subsp. equisimilis

Toshinobu Horii1,2, Sayuri Izumida3, Kiyotake Takeuchi4, Toyohiro Tada5, Jinko Ishikawa1 and Koji Tsuboi6

1 ,2 Department of Laboratory Medicine1 and Division of Infectious Diseases and Control2 , Hamamatsu University School of Medicine, 1-20-1 Handa-yama, Hamamatsu 431-3192, Japan

3 ,4 Department of Clinical Laboratory3 and Department of Obstetrics and Gynecology4 , Toyokawa City Hospital, 1-19 Koumei-cho, Toyokawa 442-8561, Japan

5 Department of Pathology, Nagoya City University School of Nursing, Mizuho-ku, Nagoya 467-8601, Japan

6 Nagoya University School of Health Sciences, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan

Correspondence
Toshinobu Horii
horiihm{at}hama-med.ac.jp

Received 5 January 2006
Accepted 18 March 2006

The authors treated a patient for what appears to be the first reported occurrence of acute peritonitis and salpingitis associated with streptococcal toxic shock syndrome (STSS). This was caused by Lancefield group G {alpha}-haemolytic Streptococcus dysgalactiae subsp. equisimilis TKCH2004-001. The isolate showed M protein type stc36 and carried the spegg gene. To the best of the authors' knowledge, the present report represents the first case of STSS complicating acute peritonitis and salpingitis caused by Lancefield group G {alpha}-haemolytic S. dysgalactiae subsp. equisimilis.

Abbreviations: ARDS, acute respiratory distress syndrome; GCS, group C Streptococcus dysgalactiae subsp. equisimilis; GGS, group G Streptococcus dysgalactiae subsp. equisimilis; STSS, streptococcal toxic shock syndrome.




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