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Case Report
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| Psoriasis induced toxic shock-like syndrome mimicking hemolytic uremic syndrome | ||||||
| Rafay Khan1, Nneka Iroka1, Hiyam Ibrahim1, Nikunjkumar Patel1, Shuvendu Sen2, Abdalla Yousif3 | ||||||
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1Resident Physician, Internal Medicine, Raritan Bay Medical Center, Perth Amboy, NJ, USA.
2Associate Program Director, Internal Medicine, Raritan Bay Medical Center, Perth Amboy, NJ, USA. 3Program Director, Internal Medicine, Raritan Bay Medical Center, Perth Amboy, NJ, USA. | ||||||
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| How to cite this article |
| Khan R, Iroka N, Ibrahim H, Patel N, Sen S, Yousif A. Psoriasis induced toxic shock-like syndrome mimicking hemolytic uremic syndrome. Int J Case Rep Images 2015;6(12):767–770. |
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Abstract
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Introduction:
Over the past decade the incidence of invasive group A streptococcal infections causing streptococcal toxic shock syndrome (STSS) or toxic shock like syndrome has been increasing. Group A streptococcus (Streptococcus pyogenes) can cause several different conditions including simple cases such as pharyngitis to severe cases involving bacteremia.
Case Report: A 37-year-old female with history of dilated cardiomyopathy and psoriasis presenting with multiple episodes of watery diarrhea, multi-organ dysfunction, septic shock with an unclear underlying etiology later found to be secondary to toxic shock-like syndrome. Conclusion: The mortality rate associated with toxic shock-like syndrome has been found to be high and a patient normally presents with signs of high fever, hypotension, liver injury, acute renal failure, coagulopathy, and at times soft tissue infection. It can be a difficult diagnosis to make as it can involve multi-organ dysfunction and as cultures are not readily available at time of presentation; its awareness needs to be differentiated to that of other conditions such as hemolytic uremic syndrome (HUS). | |
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Keywords:
Hemolytic uremic syndrome, Psoriasis, Toxic shock-like syndrome, Streptococcal pyogenes
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Author Contributions
Rafay Khan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Nneka Iroka – Substantial contributions to conception and design, Acquisition of data, analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Hiyam Ibrahim – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Nikunjkumar Patel – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Shuvendu Sen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published Abdalla Yousif – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article and revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Rafay Khan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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