[Toxic shock syndrome due to osteomyelitis].
An 11 3/4 year old girl contracted Toxic-Shock-Syndrome following osteomyelitis. The symptoms comprised a severe fall in blood-pressure with centralisation, petechiae and haematoma particularly in the lower extremities, hyperaemia of the oral mucosa and of the throat with profuse and unstaunchable bleeding in this area within in a short period of time. In order to stabilise the blood-pressure the patient had be given approx. 15 l colloidal solution (350 ml/kg) intravenously, mainly frozen-plasma. The risk of aggravation of a pulmonary failure along the lines of ARDS particularly due to the backward flow of the interstitial deposited fluid was avoided by the use of continuous veno-venous haemofiltration (CVVH).
Rey
M
M
Klinik mit Poliklinik für Kinder und Jugendliche, Universität Erlangen-Nürnberg.
Wölfel
D
D
Scharf
J
J
Zeilinger
G
G
Plettl-Maar
J
J
D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005440:Fluid Therapy; D006440:Hemofiltration; D006801:Humans; D010019:Osteomyelitis / Q000150:complications* / Q000382:microbiology; D012128:Respiratory Distress Syndrome / Q000517:prevention & control; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D013203:Staphylococcal Infections / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification
Toxic-Schock-Syndrom (TSS) infolge Osteomyelitis.