title: Toxic shock syndrome caused by a strain of Staphylococcus aureus that produces enterotoxin C but not toxic shock syndrome toxin-1.
abstract: An 8-month-old infant presented with pneumonia and pleural effusion associated with clinical manifestation of toxic shock syndrome. A Staphylococcus aureus strain isolated from the pleural fluid produced enterotoxin C, but not toxic shock syndrome toxin-1 or other enterotoxins. Acute and convalescent sera showed an antibody rise to enterotoxin C but not to toxic shock syndrome toxin-1. These findings support the possibility that enterotoxin C was the primary toxin associated with this infant's illness.
authors.affiliation: Department of Pediatrics, University of Florida, Gainesville 32610.
authors.forename: M F
authors.initials: MF
authors.lastname: Rizkallah
authors.forename: A
authors.initials: A
authors.lastname: Tolaymat
authors.forename: J S
authors.initials: JS
authors.lastname: Martinez
authors.forename: P M
authors.initials: PM
authors.lastname: Schlievert
authors.forename: E M
authors.initials: EM
authors.lastname: Ayoub
mesh_terms: D001427:Bacterial Toxins; D004768:Enterotoxins / Q000378:metabolism; D006801:Humans; D007223:Infant; D008297:Male; D012772:Shock, Septic / Q000209:etiology / Q000382:microbiology* / Q000473:pathology; D013203:Staphylococcal Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000378:metabolism; D018089:Superantigens
chemical_list: D001427:Bacterial Toxins; D004768:Enterotoxins; D018089:Superantigens; C030107:enterotoxin F, Staphylococcal; C034959:enterotoxin C, staphylococcal