{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T18:53:42Z","timestamp":1762541622146},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> Puerperal sepsis due to group A \u03b2\u2010hemolytic streptococcal (GAS) toxic shock syndrome is\nassociated with very high morbidity and mortality. Luckily it is now rare, but diagnosis is not always easy. This\nreport demonstrates the problem of recognizing this disease, and summarizes the current knowledge on the\npathomechanism and management of streptococcal toxic shock syndrome.<\/jats:p><jats:p><jats:italic>Case:<\/jats:italic> Two cases of postpartum streptococcal toxic shock syndrome due to GAS are described. In both cases\nthe correct diagnosis was delayed for several days. The first patient was sent home with the diagnosis of German\nmeasles; the second patient was transferred to our neurological intensive care unit with the diagnosis of meningitis.\nBoth patients were admitted to the intensive care unit in profound shock, both developed multiple organ failure,\nand one patient died.<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic> GAS may produce virulence factors that cause host tissue pathology. Besides aggressive modern\nintensive care treatment, early diagnosis and correct choice of anti\u2010streptococcal antibiotics are crucial. A possible\nadverse effect of non\u2010steroidal anti\u2010inflammatory agents requires confirmation in a multicenter study.<\/jats:p>","DOI":"10.1155\/s106474490200025x","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:12:46Z","timestamp":1173273166000},"page":"217-222","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Two Cases of Delayed Diagnosis of Postpartal StreptococcalToxic Shock Syndrome"],"prefix":"10.1155","volume":"10","author":[{"given":"Wolfram","family":"Schummer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Schummer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2002,5,31]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2002\/369014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2002\/369014.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S106474490200025X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T21:23:13Z","timestamp":1723065793000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S106474490200025X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1155\/S106474490200025X"],"URL":"https:\/\/doi.org\/10.1155\/s106474490200025x","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[2002,1]]},"assertion":[{"value":"2002-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2002-05-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2002-05-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}