title: [The toxic shock syndrome versus the adult Kawasaki syndrome. The diagnostic difficulties].
abstract: The case of a 18-year-old woman with the toxic shock syndrome (TSS) associated to a staphylococcal infection in the maxillary sinus is presented. The initial course of the disease was clinically superposed to a Kawasaki syndrome (KS). Both entities, of purely clinical diagnosis, possess many common elements occasionally making differentiation extremely difficult. The clinical data that may orient diagnosis to one of the processes was analyzed. Finally, it is emphasized that the paranasal sinus must be considered as an occult foci in those cases of TSS in which there is no apparent foci of infection.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario de Valme, Sevilla.
authors.forename: J M
authors.initials: JM
authors.lastname: Rivera
authors.forename: F
authors.initials: F
authors.lastname: García-Bragado
authors.forename: P
authors.initials: P
authors.lastname: Jiménez
authors.forename: J
authors.initials: J
authors.lastname: Rodríguez
authors.forename: F
authors.initials: F
authors.lastname: Lozano Gutiérrez
authors.forename: A
authors.initials: A
authors.lastname: Grilo
mesh_terms: D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008443:Maxillary Sinus / Q000382:microbiology; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis* / Q000382:microbiology; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000382:microbiology; D012772:Shock, Septic / Q000175:diagnosis* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification
vernacular_title: Síndrome del shock tóxico frente a síndrome de Kawasaki del adulto. Dificultades diagnósticas.