Related Experiment Video
Updated: Jul 15, 2025
07:22
A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
409
Atypical Case Presentation of Toxic Shock Syndrome
Folake Ishola1, Gurvir Kaur Mangat1, Kayla Martinez2
1Internal Medicine, Ross University School of Medicine, Pontiac, USA.
Cureus
|October 4, 2023
Summary
Toxic shock syndrome (TSS) is a rare, life-threatening illness. This case highlights an atypical presentation in an elderly male, emphasizing the need for heightened clinical suspicion.
Area of Science:
- Infectious Diseases
- Critical Care Medicine
Background:
- Toxic shock syndrome (TSS) is a severe, multi-system illness.
- Typically caused by *Staphylococcus aureus* or *Streptococcus pyogenes*.
- Classic symptoms include fever, hypotension, rash, and organ failure.
Observation:
- A 70-year-old male presented with atypical chest and shoulder pain following mechanical falls.
- Initial presentation was hemodynamically stable.
- Patient experienced rapid deterioration requiring intensive care unit (ICU) admission.
Findings:
- The patient's atypical symptoms masked the underlying toxic shock syndrome.
- Despite aggressive management and multidisciplinary care in the ICU, the patient's condition worsened.
- The case underscores the challenges in diagnosing TSS with non-classic presentations.
Implications:
- Highlights the importance of considering TSS in elderly patients with unexplained pain, even with hemodynamic stability.
- Emphasizes the need for early recognition and prompt intervention for better patient outcomes.
- Underscores the critical role of multidisciplinary care in managing complex TSS cases.
Keywords:
bacteremiagroup a streptococcusrhabdomyolysissepsis-associated dicseptic shockstaphylococcus aureusstreptococcal toxic shock syndromestreptococcus pyogenestoxic shock syndrome (tss)More Related Videos
Related Concept Videos
01:26Toxic Reactions: Overview
1.0K
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
1.0K
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
20
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
20
01:30Acute Coronary Syndrome I: Introduction
30
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
30
01:24Blood Pressure Imbalances and Circulatory Shock
804
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
804
01:29Acute Kidney Injury III: Clinical Manifestations
15
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
15
01:26Acute Coronary Syndrome V: Nursing Management
16
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
16