Bacterial croup and toxic shock syndrome.
An 8-year-old boy with bacterial tracheitis, treated by endotracheal intubation, humidification, airway toilet and antibiotics, experienced a toxic shock syndrome on the day after his admission. The course was favourable. Staphylococcus aureus was isolated from tracheal secretions. Bacterial tracheitis is an infrequent cause of non-menstrual toxic shock syndrome. The diagnosis of bacterial tracheitis should be suspected in a child with toxicity and croup who is not responding to the usual therapy. Endoscopy should be performed allowing for removal of the secretions. The maintenance of a clear airway is the main purpose of the treatment.
D002648:Child; D003440:Croup / Q000150:complications / Q000473:pathology*; D006801:Humans; D007827:Laryngitis / Q000473:pathology*; D008297:Male; D012772:Shock, Septic / Q000209:etiology / Q000473:pathology*; D013203:Staphylococcal Infections / Q000150:complications / Q000473:pathology*