Toxic shock syndrome in transsphenoidal neurosurgery.
An overlooked toxic shock syndrome (TSS) may lead to a fatal outcome. In neurosurgery a transsphenoidal approach with post-operative nasal tamponade may promote toxic shock syndrome without signs of local wound infection. By discussing the case history of a patient after hypophysectomy by the transsphenoidal route, we propose that after the appearance of the first signs of toxic shock syndrome, quick removal of the nasal tamponade is a life saving procedure.
Mohsenipour
I
I
Department of Neurosurgery, University Clinic Innsbruck, Austria.
Deusch
E
E
Twerdy
K
K
Semenitz
E
E
D000238:Adenoma, Chromophobe / Q000473:pathology / Q000601:surgery*; D000328:Adult; D005334:Fever / Q000209:etiology; D006801:Humans; D007016:Hypophysectomy; D008297:Male; D010902:Pituitary Gland / Q000473:pathology / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery*; D012772:Shock, Septic / Q000150:complications*; D013101:Sphenoid Sinus / Q000601:surgery*