title: [Menstrual staphylococcal toxic shock is still a reality].
abstract: BACKGROUND
  Staphylococcal toxic shock replies to precise clinical-biological criteria; but can be difficult to diagnose. Today, the nonmenstrual form of shock is the most frequent. The incidence of menstrual shock is low but their potential severity must be recalled.
  
  
  METHODS
  A young 14 year-old girl and a 33 year-old woman presented with menstrual shock that was treated successfully. A relapse in the form of staphylococcal scarlet fever occurred in the second patient. In both cases, the strain Staphylococcus aureus, which produces the TSST-1 toxin, had been identified.
  
  
  CONCLUSIONS
  The possibility of the occurrence of a menstrual staphylococcal shock in the year 2002 must be known. The polymorphism of the clinical and biological manifestations must be underlined. The search for a toxin can be conducted in an appropriate centre.
authors.affiliation: Hôpital Pellegrin, 33076 Bordeaux.
authors.forename: T
authors.initials: T
authors.lastname: Galpérine
authors.forename: D
authors.initials: D
authors.lastname: Neau
authors.forename: G
authors.initials: G
authors.lastname: Lina
authors.forename: C
authors.initials: C
authors.lastname: Richez
authors.forename: A L
authors.initials: AL
authors.lastname: Cazeau
authors.forename: H
authors.initials: H
authors.lastname: Dutronc
authors.forename: M
authors.initials: M
authors.lastname: Dupon
authors.forename: J M
authors.initials: JM
authors.lastname: Ragnaud
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001427:Bacterial Toxins; D002442:Ceftazidime / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004768:Enterotoxins / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008598:Menstruation; D010406:Penicillins / Q000627:therapeutic use; D012772:Shock, Septic / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D018089:Superantigens; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D001427:Bacterial Toxins; D004768:Enterotoxins; D010406:Penicillins; D018089:Superantigens; C030107:enterotoxin F, Staphylococcal; D014640:Vancomycin; D002442:Ceftazidime