Toxic shock syndrome in two CAPD patients with Staphylococcus aureus exit-site infection.
Toxic shock syndrome (TSS) is an illness defined by the occurrence of fever, rash, hypotension, multiple organ system dysfunction, and desquamation. Nonmenstrual TSS is often associated with surgical or nonsurgical cutaneous infections, which are rarely purulent or inflamed (Reingold AL, et al. Nonmenstrual toxic shock syndrome: a review of 130 cases. Ann Intern Med 1982; 96:871-4). Toxic shock syndrome associated with peritoneal exit-site infection but without peritonitis is extremely unusual (Sherbotie JR, et al. Toxic shock syndrome with Staphylococcus aureus exit-site infection in a patient on peritoneal dialysis. Am J Kidney Dis 1990; 15:80-3). We describe 2 patients that met the Centers for Disease Control case definition of TSS secondary to a peritoneal dialysis catheter exit-site infection with signs of mild inflammation and growth of Staphylococcus aureus, but with no evidence of peritonitis.
Altiparmak
Mehmet R
MR
Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul, Turkey.
Demirel
Hande
H
Mert
Ali
A
Serdengecti
Kamil
K
Ataman
Rezzan
R
D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D012772:Shock, Septic / Q000209:etiology* / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000209:etiology* / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000209:etiology* / Q000382:microbiology*