'Toxic Strep Syndrome'

Abstract
• Three patients presented with multisystem disease that shared many of the features of toxic shock syndrome. Bacteriologic and serologic evidence strongly suggested that group A β-hemolyticStreptococcushad caused the illnesses. Group A streptococcal infection may be an underdiagnosed cause of a toxic streptococcal syndrome, a syndrome of multisystem disease apparently mediated by toxins. (Arch Intern Med1988;148:1421-1424)