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Toxic shock syndrome: the great masquerader
Sagnik Biswas1, Animesh Ray1, Farhan Fazal1
1Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Reports
|December 21, 2018
Summary
Toxic shock syndrome is a severe, toxin-mediated illness. Early diagnosis and treatment of methicillin-resistant Staphylococcus aureus are crucial for favorable outcomes in this rare condition.
Area of Science:
- Infectious Diseases
- Microbiology
Background:
- Toxic shock syndrome (TSS) is a rare, life-threatening illness caused by bacterial toxins.
- Prompt diagnosis and aggressive treatment are vital for improving patient outcomes.
Observation:
- A 23-year-old male presented with fever, headache, retro-orbital pain, gastroenteritis, and gum bleeds.
- Initial symptoms mimicked dengue hemorrhagic fever, delaying the correct diagnosis.
Findings:
- An old, neglected wound was identified as the source of infection.
- Methicillin-resistant Staphylococcus aureus (MRSA) was confirmed from the wound swab.
Implications:
- This case highlights the importance of considering TSS in febrile illnesses with multiorgan dysfunction.
- Identifying and treating the source of MRSA infection, even from a neglected wound, can lead to a favorable outcome.
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