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Toxic shock syndrome associated with pharyngitis and submandibular space abscess
J H Sales1, P T Galantich, K S Kennedy
1Department of Otolaryngology, Head and Neck Surgery, Naval Hospital, Portsmouth, Virginia 23708-5100.
The Annals of Otology, Rhinology, and Laryngology
|July 1, 1991
Summary
Toxic shock syndrome is increasingly linked to head and neck infections, particularly after nasal packing. This study reports a rare case involving Staphylococcus pharyngitis and a submandibular abscess, reviewing treatment strategies.
Area of Science:
- Infectious Diseases
- Otolaryngology
- Critical Care Medicine
Background:
- Toxic shock syndrome (TSS) is a serious condition increasingly associated with head and neck infections.
- Nasal packing following head and neck surgery is a common precipitating factor for TSS.
- Emerging sources of TSS include spontaneous infections in the head and neck region.
Observation:
- An unusual case of TSS associated with staphylococcal pharyngitis and a spontaneous submandibular space abscess is presented.
- This case highlights less common origins of TSS in the head and neck.
- The literature on TSS originating from head and neck sites is reviewed.
Findings:
- Staphylococcal pharyngitis and submandibular abscess can lead to toxic shock syndrome.
- Early identification and management of the infectious focus are crucial.
- Aggressive supportive care and appropriate antibiotic therapy are essential for patient survival.
Implications:
- Increased awareness of TSS in head and neck surgery patients is warranted.
- Prompt diagnosis and intervention can improve outcomes for TSS.
- Understanding diverse infectious sources is key to managing TSS effectively.