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[Staphylococcal toxic shock syndrome].

P Boulétreau, M J Ray, M Bret

    Annales Francaises D'Anesthesie Et De Reanimation
    |January 1, 1984
    PubMed
    Summary
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    A case of staphylococcal toxic shock syndrome in a 31-year-old woman highlights typical symptoms like fever, shock, and rash. The patient experienced severe complications, including acute renal failure, emphasizing the need for prompt diagnosis and treatment of this serious staphylococcal infection.

    Area of Science:

    • Infectious Diseases
    • Toxicology

    Background:

    • Staphylococcal toxic shock syndrome (TSS) is a severe, multi-system illness.
    • It is often associated with Staphylococcus aureus, particularly toxin-producing strains.

    Observation:

    • A 31-year-old woman presented with classic TSS symptoms during menstruation: shock, high fever, and a cutaneous eruption.
    • The patient developed pulmonary interstitial edema and acute renal failure requiring dialysis.

    Findings:

    • Staphylococcus aureus was isolated from vaginal, nasal, and tracheal cultures.
    • The isolated strain produced enterotoxins A and F, identified as the causative agents of the symptoms.

    Implications:

    • This case underscores the potential for severe morbidity, including residual renal failure, from staphylococcal toxic shock syndrome.

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  • Early recognition and management are crucial for improving outcomes in patients with TSS.