{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:35:18Z","timestamp":1747190118721,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T00:00:00Z","timestamp":1577145600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2019,12,24]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> Streptococcal toxic shock-like syndrome (TSLS) is a severe infection caused by group A hemolytic streptococcus. It is clinically characterized by rapidly progressive septic shock and multiple organ failure within just a few hours. TSLS presenting as primary peritonitis is rare, especially in a male. Herein, we report a case of TSLS in a male presenting with primary peritonitis, with a review of 25 cases in Japan. <jats:italic>Case Presentation.<\/jats:italic> A 51-year-old male was referred to our hospital with abdominal pain and hypotension. We made a preoperative diagnosis of peritonitis with septic shock and performed an emergency operation. Intraoperative findings indicated no marked origin of the peritonitis. Preoperative blood culture showed the presence of group A hemolytic streptococcus. The patient required intensive care involving artificial respiration, abdominal drainage and cytokine absorption therapy, and was discharged on postoperative day 25. <jats:italic>Conclusion.<\/jats:italic> TSLS in a male presenting as primary peritonitis is rare. Although this condition is a severe infection, it can be treated by multimodal therapy.<\/jats:p>","DOI":"10.1155\/2019\/4984679","type":"journal-article","created":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T18:30:51Z","timestamp":1577212251000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Group A Streptococcal Toxic Shock-Like Syndrome in a Male Presenting as Primary Peritonitis: A Case Report and a Review in Japan"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2553-5258","authenticated-orcid":true,"given":"Shunsuke","family":"Sakuraba","sequence":"first","affiliation":[{"name":"Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuhei","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, 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