[Maternal-fetal staphylococcal toxic shock syndrome with chorioamniotitis].
We report a rare case of mother-infant pair with Staphylococcal Toxic Shock Syndrome (TSS). A term neonate was born by caesarean section for maternal septic syndrome during per-partum. He presented with respiratory distress complicated by pulmonary hypertension, skin rash, and multiple organ system involvement. Staphylococcus aureus was isolated from placenta, surface swabs and gastric aspirate. He received adapted antibiotics, respiratory support by high frequency ventilation and NO. The mother had shock, skin rash and inflammatory syndrome. Outcome was good in both cases. The isolate produced enterotoxin C and L. Shock, exanthematous disease and multi-organ involvement complicating a staphylococcal infection in neonate must lead to suspect a TSS.
Lacoste
A
A
Service de pédiatrie et néonatologie, centre hospitalier de la Côte-Basque, 13, avenue Interne-J.-Loëb, 64100 Bayonne, France.
Torregrosa
A
A
Dubois
S
S
Apéré
H
H
Oyharçabal
V
V
Carré
M
M
Cayla-Embarek
C
C
Hernandoréna
X
X
Jouvencel
P
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002821:Chorioamnionitis / Q000175:diagnosis*; D004359:Drug Therapy, Combination; D004768:Enterotoxins / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D004768:Enterotoxins