Pseudo-toxic-shock syndrome due to a drug reaction.
A case is reported of a 13-year-old girl who had an illness initially thought to be toxic shock syndrome but subsequently noted to be a toxic reaction to the anticonvulsant, carbamazepine. The patient was never hypotensive but she was febrile and had a desquamative rash and involvement of three organ systems. Staphylococcus aureus was recovered from the patient's blood and vagina.
D000293:Adolescent; D002220:Carbamazepine / Q000009:adverse effects*; D003951:Diagnostic Errors; D003875:Drug Eruptions / Q000175:diagnosis / Q000209:etiology*; D004802:Eosinophilia / Q000139:chemically induced; D005260:Female; D005334:Fever / Q000139:chemically induced; D006801:Humans; D007970:Leukopenia / Q000139:chemically induced; D012772:Shock, Septic / Q000139:chemically induced* / Q000175:diagnosis; D013577:Syndrome
D002220:Carbamazepine