rare case of streptococcal toxic shock syndrome in Kuwait

Invasive Streptococcal A infection is a community acquired disease of high mortality that can be seen in healthy people with no underlying disease. Clinical presentation is variable which might lead initially to incorrect diagnosis. The development of toxic shock syndrome is the major predictor of mortality. The fulminant onset of the disease emphasizes the importance of early penicillin introduction in suspected cases. We describe the first reported case of group A streptococcal toxic shock syndrome in Kuwait and review the relevant literature

Unusual presentation of the Conn's syndrome: a case report

A 26 -year- old woman presented with rhabdomyolysis secondary to severe hypokalemia. Hypertension and metabolic alkalosis could lead to the suspicion of primary aldosteronism, which was confirmed by a decreased plasma rennin, elevated plasma aldosterone levels and high aldosterone/rennin ratio additionally. Additionally adrenal computed tomography showed an adrenal tumour. Blood pressure and hypokalemia returned to the normal level after adrenaiectomy was performed. This case report highlights the need to be alert to the possibility of primary aldosteronism incidence in a patient presenting with rhabdomyolysis and hypertension caused by severe hypokalemia