[A SLE case with toxic shock syndrome after delivery].
We experienced a SLE patient with TSS after delivery. A 32-year-old SLE patient was transferred to our division due to fever, diarrhea, erosive rash, pericardial effusion, myalgia, low blood pressure, thrombocytopenia and hypoproteinemia which appeared two days after transvaginal delivery. At the time of admission, we considered these symptoms as the exacerbation of SLE, and treatment with high doses of steroid was started. It was when TSST-1-producing-MRSA was cultured from the vagina and uterus that TSS was suspected. 2 g/day of vancomycin was administered and her symptoms improved. As observed in this case, it is important to consider TSS as one of the complications seen with SLE patients after delivery.
Kadoya
A
A
Department of Internal Medicine, Kitasato University, School of Medicine.
Iikuni
Y
Y
Hosaka
S
S
Okada
J
J
Kondo
H
H
D000328:Adult; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D016106:Methicillin Resistance; D011247:Pregnancy; D011248:Pregnancy Complications; D011645:Puerperal Infection / Q000150:complications*; D012772:Shock, Septic / Q000150:complications*; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000187:drug effects