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Table 2 Clinical criteria for the diagnosis of streptococcal toxic-shock syndrome

From: Streptococcal toxic-shock syndrome due to Streptococcus dysgalactiae subspecies equisimilis in breast cancer-related lymphedema: a case report

1. Hypotension  
2. Multi-organ involvement characterized by two or more of the following:  
 Renal impairment  
 Coagulopathy  
 Liver involvement  
 Acute respiratory distress syndrome  
 A generalized erythematous macular rash that may desquamate  
 Soft-tissue necrosis, including necrotizing fasciitis or myositis and gangrene  
Isolation of Streptococcus from  
 Non-sterile site Probable  
 Normally sterile site Confirmed  
  1. Streptococcal toxic-shock syndrome Case Definition 2010 [8]