Toxic shock syndrome

نویسنده

  • R BUCHDAHL
چکیده

Toxic shock syndrome is an acute febrile illness with mucocutaneous manifestations and multisystem involvement, often associated with focal staphylococcal infection. Although Todd originally described the disorder in children,' with a subsequent report of childhood toxic shock syndrome,2 publicity given to the disorder in relation to menstruation and tampon use has resulted in its being considered a disease of menstruating females, with little relevance to paediatric practice.3 Although several thousand cases of the tampon associated disease have been reported in the United States, it seems to be uncommon in the United Kingdom, and there have been no previous reports here of its occurrence in children.4 While most cases continue to be associated with menstruation and tampon use, there are increasing reports of cases associated with extravaginal infection.5 We report six children with toxic shock syndrome.

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Scarlet fever can mimic toxic shock syndrome.

We describe a patient who presented with a widespread erythematous rash, diarrhoea, confusion, pre-renal uraemia and hyponatraemia. The diagnosis of staphylococcal toxic shock syndrome seemed likely as she was menstruating and there was no evidence of pharyngitis. A rising ASO titre confirmed a streptococcal aetiology and thus 'toxic' scarlet fever. Toxic shock syndrome and toxic scarlet fever ...

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تاریخ انتشار 2006