RESUMO
Surveillance by the Unexplained Deaths and Critical Illnesses Project (UNEX) uncovered a novel presentation of adenovirus type 3 infection that satisfied the criteria for toxic shock-like syndrome in a 28-year-old immunocompetent man. Adenovirus may be a cause of toxic shock syndrome; surveillance systems such as UNEX may uncover additional causes of this and other clinically defined infectious syndromes.
Assuntos
Infecções por Adenoviridae/virologia , Adenovírus Humanos/fisiologia , Choque Séptico/virologia , Viremia/virologia , Infecções por Adenoviridae/fisiopatologia , Adulto , Humanos , Masculino , Choque Séptico/fisiopatologia , Viremia/fisiopatologiaRESUMO
Five patients were seen in the UCLA hospital system with septic arthritis due to group G Streptococcus. All had prior joint disease or surgery on the affected joint. Findings from physical examination and laboratory evaluation were typical for pyogenic arthritis. Response to antimicrobial therapy was slow and marked by recurrent sterile joint effusions. Group G streptococcal arthritis may be diagnosed more frequently if routine serologic grouping of streptococcal isolates from joint fluid samples is performed. Such identification may also have prognostic significance.