title: Toxic shock syndrome following thoracic surgery for lung cancer: report of a case.
abstract: Postoperative toxic shock syndrome (PTSS) caused by toxin-producing Staphylococcus aureus has incidentally been reported to be experienced following various surgical procedures or wounds. This syndrome includes sudden high fever, headache, muscle ache, a sunburn-like rash, hypotension, and tachycardia, while also often showing a rapid progression and a fatal outcome. To date, no such cases have ever been reported after thoracic surgery. We herein describe a highly probable case of PTSS in a 61-year-old man who underwent a pulmonary resection for lung cancer. The patient recovered after immediate and intensive antibiotic and steroid therapies. PTSS can occur incidentally even in the field of thoracic surgery; therefore, thoracic surgeons should be aware of this possible onset in order to recognize and treat this disease in a timely manner.
authors.affiliation: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
authors.forename: Fumihiro
authors.initials: F
authors.lastname: Shoji
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yoshino
authors.forename: Atsushi
authors.initials: A
authors.lastname: Osoegawa
authors.forename: Tokujiro
authors.initials: T
authors.lastname: Yano
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002437:Cefazolin / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007275:Injections, Intravenous; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D016106:Methicillin Resistance; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D005938:Glucocorticoids; D002437:Cefazolin; D008775:Methylprednisolone