{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T03:34:49Z","timestamp":1771040089752,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,25]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>Streptococcal toxic shock syndrome (STSS) is an uncommon disorder characterised by hypotension and multiorgan failure in the setting of streptococcal infection. Recurrent STSS is rare and has been due to recurrence of the same streptococcal species. Here, we present a case of a patient who developed recurrent STSS from a <jats:italic>Streptococcus dysgalactiae<\/jats:italic> right native joint septic arthritis and subsequently from a <jats:italic>Streptococcus agalactiae<\/jats:italic> left native joint septic arthritis.<\/jats:p>","DOI":"10.1136\/bcr-2024-260409","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T21:25:24Z","timestamp":1723670724000},"page":"e260409","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Recurrent streptococcal toxic shock syndrome due to distinct episodes of <i>Streptococcus dysgalactiae<\/i> and <i>Streptococcus agalactiae<\/i> septic arthritis"],"prefix":"10.1136","volume":"17","author":[{"given":"Adrienne Elizabeth","family":"Yun","sequence":"first","affiliation":[{"name":"Infectious Disease, Ascension St John Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard B","family":"Johnson","sequence":"additional","affiliation":[{"name":"Infectious Disease, Ascension St John Hospital, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"2025082802271154000_17.8.e260409.1","unstructured":"Centers for Disease Control and Prevention . Streptococcal Toxic Shock Syndrome (STSS) (Streptococcus pyogenes) 2010 case definition. Available: https:\/\/wwwn.cdc.gov\/nndss\/conditions\/streptococcal-toxic-shock-syndrome\/case-definition\/2010 [Accessed 9 Jul 2024]."},{"key":"2025082802271154000_17.8.e260409.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2249.2003.02203.x"},{"key":"2025082802271154000_17.8.e260409.3","doi-asserted-by":"crossref","DOI":"10.1186\/s13613-018-0438-y","article-title":"Streptococcal toxic shock syndrome in the intensive care unit","volume":"8","author":"Schmitz","year":"2018","journal-title":"Ann Intensive Care"},{"key":"2025082802271154000_17.8.e260409.4","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw248"},{"key":"2025082802271154000_17.8.e260409.5","doi-asserted-by":"crossref","first-page":"3211","DOI":"10.2169\/internalmedicine.55.6787","article-title":"Recurrent Streptococcus agalactiae toxic shock syndrome triggered by a tumor necrosis factor-\u03b1 inhibitor","volume":"55","author":"Yoshida","year":"2016","journal-title":"Intern Med"},{"key":"2025082802271154000_17.8.e260409.6","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0b013e31827dea11","article-title":"Streptococcus agalactiae toxic shock-like syndrome: two case reports and review of the literature","volume":"92","author":"Al Akhrass","year":"2013","journal-title":"Medicine"},{"key":"2025082802271154000_17.8.e260409.7","doi-asserted-by":"crossref","first-page":"5977","DOI":"10.2147\/IDR.S426930","article-title":"A case report of Streptococcus dysgalactiae toxic shock syndrome complicated with symmetric peripheral gangrene","volume":"16","author":"Shen","year":"2023","journal-title":"Infect Drug Resist"},{"key":"2025082802271154000_17.8.e260409.8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.1.186-192.2004"},{"key":"2025082802271154000_17.8.e260409.9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0030151","article-title":"Streptococcal toxic shock syndrome caused by Streptococcus suis serotype 2","volume":"3","author":"Tang","year":"2006","journal-title":"PLoS Med"},{"key":"2025082802271154000_17.8.e260409.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2016-216092","article-title":"Recurrent SDSE bacteraemia resulting in streptococcal toxic shock syndrome in a patient with Noonan syndrome","volume":"2016","author":"Suzuki","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2025082802271154000_17.8.e260409.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2013.10.004"},{"key":"2025082802271154000_17.8.e260409.12","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu444"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:27:21Z","timestamp":1756373241000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":12,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,14]]},"published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1136\/bcr-2024-260409"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260409","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8]]}}}