[A case of adult XXXX associated with fulminant group A @entity883 ].

@entity883 @entity1910 @entity39 @entity114 @entity1066 @entity134 @entity11657 @entity4841 @entity925 @entity5013
We report a case of adult @entity11657 ( @entity11657 ) associated with group A @entity883 . A 37-year-old male had suffered from high fever, @entity4841 , @entity925 , and @entity1910 following pharyngalgia. He was admitted to the hospital because of cutaneous @entity1066 and @entity39 making the general condition rapidly poor. A serological streptococcal test showed a marked increase in antistreptlysin-O (ASO) and a positive reaction to C polysaccharide, suggesting fulminant @entity883 . Various antibiotics including @entity114 agents were administered. However improvement and exacerbation were repeatedly noted. In the hospital course @entity5013 and subcutaneous nodes in upper extremities developed. Biopsy specimen of subcutaneous nodes revealed @entity39 . Administration of a @entity134 achieved complete response, and the symptoms, inflammatory reaction, and ASO level improved. While the dose of the @entity134 was tapered gradually, recurrence was noted. However, increasing the dose finally resulted in relief. During the 2-year follow-up, there was a correlation between the ASO level and inflammatory reaction.
