Toxic shock syndrome following diagnostic peritoneal lavage.
We report the case of a 15-year-old girl who developed high fever, syncope, abdominal pain, nausea and vomiting, myalgia, pharyngitis, and a desquamating rash eight days after a diagnostic peritoneal lavage. The diagnostic peritoneal lavage wound was erythematous and tender. Incision of the site yielded 10 mL of exudate that cultured Staphylococcus aureus. The patient was treated with a first-generation cephalosporin and recovered without sequelae. To our knowledge, this is the first reported case of toxic shock syndrome following diagnostic peritoneal lavage.
Catapano
M
M
Department of Emergency Medicine, Denver General Hospital, Colorado 80204-4507.
Cwinn
A A
AA
Marx
J A
JA
Moore
E E
EE
D000007:Abdominal Injuries / Q000175:diagnosis; D000293:Adolescent; D002514:Cephapirin / Q000008:administration & dosage; D002515:Cephradine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D010533:Peritoneal Lavage / Q000009:adverse effects*; D012772:Shock, Septic / Q000209:etiology* / Q000628:therapy
D002514:Cephapirin; D002515:Cephradine