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Toxic Shock Syndrome After Orthopaedic Surgery
Sharon M Fernandes1, Amylene Luna1, Thomas Hall1
1Critical Care Medicine, St George's University Hospitals NHS Foundation Trust, London, GBR.
Cureus
|August 29, 2023
Summary
Toxic shock syndrome (TSS) is a rare but severe condition. Early recognition and multidisciplinary care are crucial for improving outcomes in patients, especially after surgery.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
- Orthopedic Surgery
Background:
- Toxic shock syndrome (TSS) is a severe, acute multisystem illness.
- It is caused by exotoxin-producing bacteria, primarily Staphylococcus aureus or Streptococcus species.
- Prompt diagnosis and management are essential for patient survival.
Observation:
- A 62-year-old male developed symptoms including confusion, fever, hypotension, and rash post-wrist fracture surgery.
- Initial presentation mimicked surgical site infection, but other causes were systematically excluded.
- Despite standard treatments, the patient's condition did not improve.
Findings:
- Blood cultures confirmed Staphylococcus aureus infection.
- Surgical wound exploration, debridement, and hardware removal were performed.
- The patient eventually recovered after multidisciplinary intervention.
Implications:
- High index of suspicion is vital for diagnosing TSS in postoperative orthopedic patients.
- Symptoms can be delayed and surgical wounds may appear uninfected.
- Early recognition, intervention, and collaborative care improve patient prognosis.
Keywords:
bone and jointemergency medicine resuscitationgeneral trauma surgerymedical critical careorthopaedics surgerytoxic shock syndromeMore Related Videos
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