title: Toxic shock-like syndrome associated with staphylococcal enterocolitis in an HIV-infected man.
abstract: A human immunodeficiency virus-infected individual developed severe secretory diarrhea due to infection with Staphylococcus aureus. When octreotide therapy was initiated, a toxic shock-like syndrome developed that was associated with fever, multisystem organ damage, and ultimately, desquamation of the palms and soles. The isolate was methicillin susceptible and produced enterotoxins B and C. This is, to our knowledge, the first reported case of toxic shock syndrome to develop secondary to staphylococcal enterocolitis in an adult.
authors.affiliation: Division of Gastroenterology, Department of Medicine and Pathology, St. Luke's-Roosevelt Hospital Center, New York, NY 10025, USA. dkotler@chpnet.org
authors.forename: Donald P
authors.initials: DP
authors.lastname: Kotler
authors.forename: Uriel
authors.initials: U
authors.lastname: Sandkovsky
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Schlievert
authors.forename: Emilia Mia
authors.initials: EM
authors.lastname: Sordillo
mesh_terms: D004760:Enterocolitis / Q000150:complications / Q000382:microbiology* / Q000473:pathology; D004768:Enterotoxins / Q000378:metabolism; D015658:HIV Infections / Q000150:complications*; D015497:HIV-1; D006801:Humans; D008297:Male; D008875:Middle Aged; D012772:Shock, Septic / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000472:pathogenicity*
chemical_list: D004768:Enterotoxins; C026066:enterotoxin A, Staphylococcal; C031818:enterotoxin B, staphylococcal