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Table 2 Symptoms, signs, and elements of clinical history suggestive of STSS frequently reported among literature

From: Streptococcal toxic shock syndrome in the intensive care unit

Context of recent trauma, surgical intervention, skin lesion or NSAID intake

 

Prodromal influenza-like symptoms

 

Digestive symptoms (vomiting, diarrhea, abdominal pain)

 

Severe pain, out of proportion is frequent, in the absence of evident portal of entry

 

Signs of soft tissue infection (necrotizing fasciitis, gangrene, myositis, etc.)

 

Generalized erythematous macular rash (early)

 

Palmar and plantar desquamation (late)

 

Multiple organ failure including two or more of the following: renal impairment, coagulopathy, liver involvement, acute respiratory distress syndrome

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