Necrotizing fasciitis and septic shock due to streptococcal toxic shock syndrome in an elderly patient: A case report

Abstract

Streptococcal toxic shock syndrome (STSS) has a high mortality rate, and most patients die within a few days of onset. We report an elderly patient with STSS, necrotizing fasciitis and septic shock caused by group G streptococcus who was successfully treated with multidisciplinary therapy.The elderly patient suffered from streptococcal toxic shock syndrome and went into shock rapidly and progressively. However, prompt surgical treatment, antimicrobial agents, and blood purification therapy such as polymyxin B immobilized fiber column direct hemoperfusion and continuous hemodiafiltration could have saved the patient's life.