Multiple Cerebral Infarctions and Clinically Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Associated with Streptococcal Toxic Shock Syndrome: A Case Report.

ABSTRACT:

Introduction

Streptococcal toxic shock syndrome (STSS) is a rapidly progressing, fatal disease. Sepsis can be complicated by multiple cerebral infarctions, clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS), and sepsis-related encephalopathy, resulting in a poor prognosis. To our knowledge, there have been no reported cases of sepsis complicated by both multiple cerebral infarctions and MERS. We report a case based on a literature review.

Case presentation

The patient was a 49-year-old man who experienced fever and a sore throat for 2 weeks prior to his visit. He was diagnosed with tonsillitis. Two days prior to his visit, he was confused and was transported to his previous hospital, where he was diagnosed with sepsis and treated conservativ

SUBMITTER: Okubata H 

PROVIDER: S-EPMC12788836 | biostudies-literature | 2026 Jan-Dec

REPOSITORIES: biostudies-literature