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Prompt blood cultures, supportive treatment, and antibiotic therapy are the mainstay of treatment. Surgical exploration can be necessary in case of clinical deterioration and suspicion of secondary peritonitis. The aim of this article is to address the clinical characteristics, challenges in diagnosis, and management options for this potentially fatal syndrome.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf779","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T14:37:24Z","timestamp":1759156644000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute abdomen in a young patient: an uncommon and difficult diagnosis of primary Group A streptococcal peritonitis with toxic shock syndrome"],"prefix":"10.1093","volume":"2025","author":[{"given":"Lukas","family":"Sommer","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, H\u00f4pital Riviera-Chablais , Route du Vieux Sequoia 20, 1847 Rennaz 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