[Toxic shock syndrome in 8 children].
OBJECTIVE
Evaluation of patients with toxic shock syndrome (TSS) in a paediatric hospital.


METHODS
Retrospective analysis.


METHODS
Paediatric Intensive Care Unit, University Hospital, Rotterdam, the Netherlands.


METHODS
Analysis of the medical records on 155 patients admitted between January 1982 and January 1992 suffering from shock, 8 of whom had TSS.


RESULTS
Five out of 8 TSS patients were under 5 years of age. All the patients needed mechanical ventilation. All patients survived. In 7 patients a probably causative focus of infection was found. The cultures of 6 patients showed growth of Staphylococcus aureus, those of 2 patients showed Lancefield group A beta-haemolytic streptococci (bacterial culture in one, increased antibody titer in the other). Systematic phage typing was not performed.


CONCLUSIONS
Although TSS is a relatively rare disease in young children, it is a potentially lethal one, early recognition of which is very important.
Hazelzet
J A
JA
Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kindergeneeskunde.
Oudshoorn
J H
JH
van der Voort
E E
EE
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012772:Shock, Septic / Q000175:diagnosis* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification
Toxische-shocksyndroom bij 8 kinderen.