Staphylococcal toxic shock syndrome in a paediatric burn unit.
A case of staphylococcal toxic shock syndrome (TSS) in a 15-year-old patient undergoing reconstructive burn surgery is reported. This syndrome, first described in menstruating women using tampons, can also occur as a postsurgical complication. The epidemiology, microbiology, clinical presentation and management of non-menstrual TSS are discussed and correlated with the patient present. We advise caution in the use of occlusive dressings and recommend constant isolation of patients with open wounds colonized with a TSST-1 producing strain of Staph. aureus.
Bacha
E A
EA
Massachusetts General Hospital, Department of Surgery, Harvard Medical School, Boston.
Sheridan
R L
RL
Donohue
G A
GA
Tompkins
R G
RG
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002053:Burn Units; D002056:Burns / Q000503:physiopathology; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D016038:Skin Transplantation; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology*
D000900:Anti-Bacterial Agents