Toxisches Streptokokken Schock Syndrom in Verbindung mit serologisch nachgewiesenen Autoantikörpern - Streptococcal Toxic Shock-like Syndrome Associated with Detectable Autoantibodies

Zusammenfassung

Im vorliegenden Fall möchten wir über den schweren Verlauf eines Toxischen Streptokokken Schock Syndroms (STSLS) berichten, dessen Diagnosesicherung und kausale Therapieeinleitung maßgeblich durch den Nachweis von serologischen Autoantikörpern kompliziert und beeinflusst wurde. Neben der Darstellung der klinischen und paraklinischen Befunde sollen Differenzialdiagnosen mit den entsprechenden Interventionsstrategien vorgestellt und diskutiert werden.

Abstract

We report on the severe course of a Streptococcal Toxic Shocklike Syndrome (STSLS). The initial diagnosis as well as the causal therapeutic approaches were complicated and prolongated definitely by the serological detection of auto-antibodies. Besides the presentation of clinical and paraclinical findings the report responds to relevant differential diagnoses and the corresponding strategies of therapeutic intervention.

Schlüsselwörter

Toxisches Schock Syndrom - Streptokokken - Superantigen - Auto-antikörper - systemischer Lupus erythematodes

Key words

Toxic shock syndrome - streptococcal - superantigen - autoantibody - systemic lupus erythematosus

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