The anesthetic management of a patient with streptococcal toxic shock-like syndrome--a case report.

Streptococcal toxic shock-like syndrome (TSLS), a severe multisystem disorder with rapid progression and fulminant course, is caused by group A beta-hemolytic streptococcal (GAS) infection. The mortality rate is around 30%. It has been reported in the United States and Europe since the 1980s. The recent recognition of this syndrome is thought to stem from the appearance of more virulent strains of streptococci with a greater tendency to produce potent exotoxins than prior ones. Early diagnosis, treatment with penicillin, radical operative debridement and adjuvant therapy with immunoglobulin and plasma exchange may bear a favourable outcome. A case of TSLS who received surgical management in operating room is presented in this paper.