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Toxic shock syndrome associated with Staphylococcus aureus sinusitis in children
1Department of Pediatric Medicine, Children's Hospital of Denver, CO.
The Journal of Infectious Diseases
|May 1, 1990
Summary
Toxic shock syndrome (TSS) can be severe and linked to Staphylococcus aureus. This study highlights perinasal sinusitis as a hidden cause of TSS in children when other infection sources aren't apparent.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Toxic shock syndrome (TSS) is a severe, acute, multisystem illness characterized by rash and shock.
- It is typically caused by Staphylococcus aureus strains and often linked to focal infections like those from tampon use, abscesses, or surgical wounds.
Observation:
- Identifying and draining the infection focus is crucial for TSS treatment.
- Sometimes, the source of Staphylococcus aureus infection is not readily apparent, necessitating further diagnostic evaluation.
Findings:
- This report details three pediatric cases of TSS associated with sinusitis.
- In these cases, the perinasal sinuses served as the sole identified focus of Staphylococcus aureus infection.
Implications:
- The findings underscore the importance of considering perinasal sinuses as a potential cryptic source of Staphylococcus aureus infection in children presenting with TSS.
- Recognizing sinusitis as a hidden focus can improve diagnostic accuracy and therapeutic strategies for pediatric TSS.