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Toxic shock syndrome in patients with external fixators
R Turker1, J P Lubicky, L C Vogel
1Shriners Hospitals for Crippled Children, Chicago, Illinois 60635.
Journal of Pediatric Orthopedics
|September 1, 1992
Summary
Toxic shock syndrome (TSS) is a life-threatening toxemia, not septicemia, often caused by Staphylococcus aureus exotoxin. This report highlights two pediatric cases linked to external fixators, emphasizing early recognition for prompt treatment.
Area of Science:
- Toxic Shock Syndrome (TSS)
- Staphylococcus aureus infections
- Pediatric Orthopaedics
Background:
- Toxic shock syndrome (TSS) is a severe, potentially fatal condition characterized by toxemia, not septicemia.
- The most common cause is an exotoxin (TSST-1) produced by specific strains of Staphylococcus aureus.
- Early diagnosis and intervention are crucial for managing TSS.
Observation:
- Two pediatric patients developed TSS while utilizing external fixators.
- The report details their initial symptoms, management strategies, and any subsequent complications.
- This presentation highlights a less commonly recognized association of TSS in orthopedic settings.
Findings:
- The cases demonstrate that TSS can manifest in patients with external fixators, suggesting a potential link.
- Recognition of the precipitous onset of TSS symptoms is vital for timely medical intervention.
- Management involved addressing the underlying Staphylococcus aureus infection and the systemic effects of the toxin.
Implications:
- Pediatric orthopaedic surgeons should be aware of TSS as a potential complication in patients with external fixators.
- Increased vigilance can lead to earlier diagnosis and improved patient outcomes.
- Further research may explore the specific mechanisms linking external fixators to TSS development.