title: A case of toxic shock syndrome following a DIEP breast reconstruction.
abstract: Mastectomy with immediate breast reconstruction has become the standard treatment for Carcinoma breast in UK and many parts of the world. Autologus reconstruction with muscle sparing TRAM/ DIEP is the 'Gold Standard' for assessing the newer options for breast reconstruction. Toxic Shock Syndrome (TSS) is a rare but fatal condition particularly seen in the female population. Few cases of TSS have been reported in the Plastic Surgery literature following Silicone implant based reconstruction. We report a case of TSS following Deep Inferior Epigastric Perforator flap (DIEP)reconstruction. Due to the aggressive nature of TSS, the European Society of Intensive Care Medicine (ESICM) has initiated the 'Surviving Sepsis' campaign to propagate, information and management guidelines for the general public and health professionals. We present a case report with the pathophysiology of TSS.
authors.affiliation: St. Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, UK. mtare@hotmail.com
authors.forename: Makarand
authors.initials: M
authors.lastname: Tare
authors.forename: John
authors.initials: J
authors.lastname: Durcan
authors.forename: Niri
authors.initials: N
authors.lastname: Niranjan
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008408:Mastectomy; D016106:Methicillin Resistance; D012772:Shock, Septic / Q000209:etiology / Q000628:therapy*; D013211:Staphylococcus aureus; D013524:Surgical Flaps / Q000009:adverse effects* / Q000098:blood supply; D013530:Surgical Wound Infection / Q000382:microbiology / Q000628:therapy*