PMID- 7853728 OWN - NLM STAT- MEDLINE DCOM- 19950316 LR - 20110727 IS - 0047-1852 (Print) IS - 0047-1852 (Linking) VI - 52 IP - 12 DP - 1994 Dec TI - [Toxic shock like syndrome due to S. pyogenes (TSLS)]. PG - 3309-18 AB - Resurgence of severe infection, caused by Streptococcus pyogenes was observed in the USA from the middle of the 1980s. Toxic Shock like Syndrome due to Streptococcus pyogenes (TSLS) has been one of the most life-threatening diseases with soft tissue infections, such as necrotizing fasciitis, myositis, bacteremia and shock. Patients with TSLS has been reported in Europe, USA, Canada, etc. The first report of TSLS in Japan was described by Y. Shimizu and his colleague, Asahi General Hospital, Chiba, 1992. Since then more cases of TSLS, diagnosed by CDC's Criteria, have been found in various parts of Japan, including Chiba prefecture. They are characterised by rapid development of shock and death. Some of the isolated strains from blood or tissues have been identified as S. pyogenes, M3, M1 with SPEA (Streptococcal pyrogenic exotoxin A). FAU - Murai, T AU - Murai T AD - College of Health Professions, Toho University. LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Nihon Rinsho JT - Nihon rinsho. Japanese journal of clinical medicine JID - 0420546 SB - IM MH - Humans MH - Japan/epidemiology MH - Shock, Septic/epidemiology/*microbiology MH - *Streptococcal Infections MH - *Streptococcus pyogenes/classification RF - 21 EDAT- 1994/12/01 00:00 MHDA- 1994/12/01 00:01 CRDT- 1994/12/01 00:00 PHST- 1994/12/01 00:00 [pubmed] PHST- 1994/12/01 00:01 [medline] PHST- 1994/12/01 00:00 [entrez] PST - ppublish SO - Nihon Rinsho. 1994 Dec;52(12):3309-18.