Toxic shock syndrome following submandibular gland excision.
Acute toxic shock syndrome (TSS), initially described in association with the use of super absorbent tampons in menstruating women, has complicated a variety of surgical procedures. Recent attention in head and neck surgery has focused on absorbent packing materials, such as those used in postoperative nasal care. It is important to maintain a high index of suspicion in all postoperative patients to fever, hypotension, and erythroderma. We report TSS following submandibular gland excision.
Fornadley
J A
JA
Department of Otolaryngology--Head and Neck Surgery, Naval Hospital, Portsmouth, Virginia 23708-5000.
Gomez
P J
PJ
Crane
R T
RT
Rickman
L S
LS
D003873:Dermatitis, Exfoliative / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012468:Salivary Gland Neoplasms / Q000601:surgery*; D012772:Shock, Septic / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology*; D013363:Submandibular Gland / Q000601:surgery; D013365:Submandibular Gland Neoplasms / Q000601:surgery*; D013530:Surgical Wound Infection / Q000209:etiology