{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:26:36Z","timestamp":1757705196246},"reference-count":26,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Infectious Diseases and Medical Microbiology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Viridians streptococcal shock syndrome is a subtype of toxic shock syndrome. Frequently, the diagnosis is missed initially because the clinical features are nonspecific. However, it is a rapidly progressive disease, manifested by hypotension, rash, palmar desquamation, and acute respiratory distress syndrome within a short period. The disease course is generally fulminant and rarely presents initially as a purpura over the plantar region. We present a case of a 54-year-old female hospital worker diagnosed with viridians streptococcal shock syndrome caused by<jats:italic>Streptococcus gordonii<\/jats:italic>. Despite aggressive antibiotic treatment, fluid hydration, and use of inotropes and extracorporeal membrane oxygenation, the patient succumbed to the disease. Early diagnosis of the potentially fatal disease followed by a prompt antibiotic regimen and appropriate use of steroids are cornerstones in the management of this disease to reduce the risk of high morbidity and mortality.<\/jats:p>","DOI":"10.1155\/2016\/9463895","type":"journal-article","created":{"date-parts":[[2016,4,17]],"date-time":"2016-04-17T21:01:25Z","timestamp":1460926885000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Plantar Purpura as the Initial Presentation of Viridians Streptococcal Shock Syndrome Secondary to<i>Streptococcus gordonii<\/i>Bacteremia"],"prefix":"10.1155","volume":"2016","author":[{"given":"Chen-Yi","family":"Liao","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuan-Jen","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng-Hui","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Fang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsien-Kuo","family":"Chin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chin-Wen","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wu-Hsien","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren-Jy","family":"Ben","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yen-Cheng","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, No. 2 Zhongzheng 1st Road, Lingya District, Kaohsiung 802, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.15.4.613-630.2002"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.01563-10"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1128\/iai.01511-07"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.41.7.3051-3055.2003"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.01.003"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2117"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2013.12.026"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4046\/trd.2015.78.3.196"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1111\/1469-0691.12302"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1086\/340402"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2014.03.032"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-12-215"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.3109\/0886022x.2011.552146"},{"issue":"3","key":"14","first-page":"189","volume":"19","year":"2011","journal-title":"Infezioni in Medicina"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1038\/nature11234"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000164708.21464.03"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1097\/inf.0000000000000058"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.09.108"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.44.1.160-165.2006"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.4084\/mjhid.2014.055"},{"issue":"9","key":"21","doi-asserted-by":"crossref","first-page":"1845","DOI":"10.1200\/JCO.2000.18.9.1845","volume":"18","year":"2000","journal-title":"Journal of Clinical Oncology"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.3201\/eid2005.130953"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1086\/340352"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygeno.2014.07.007"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-695x.2006.00161.x"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.6.e467"}],"container-title":["Canadian Journal of Infectious Diseases and Medical Microbiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjidmm\/2016\/9463895.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjidmm\/2016\/9463895.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cjidmm\/2016\/9463895.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T11:09:02Z","timestamp":1498302542000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cjidmm\/2016\/9463895\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016]]},"references-count":26,"alternative-id":["9463895","9463895"],"URL":"https:\/\/doi.org\/10.1155\/2016\/9463895","relation":{},"ISSN":["1712-9532","1918-1493"],"issn-type":[{"value":"1712-9532","type":"print"},{"value":"1918-1493","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016]]}}}