[Toxic shock syndrome (TSS) after a postsurgery knee infection].
We report on a case of toxic shock syndrome (TSS) in a 17-year-old healthy patient after surgery of the right knee joint following a traumatic patella luxation. Two days after the intervention the patient showed fever, diarrhea, cough, and a diffuse erythroderma without any signs of postsurgical wound infection. Septic shock and acute renal failure followed. It was possible to identify a Staphylococcus, which originated the toxic shock toxin. As result of treatment, full recovery was achieved. TSS can occur in its full picture in a postoperative wound infection in a young healthy patient without showing local signs of infection at the operation site.
Klinik für Unfallchirurgie und Sporttraumatologie, Kliniken Südostbayern AG Krankenhaus, Riedelstrasse 5, 83435, Bad Reichenhall. mdjpereira@gmx.de
M
M
de Jesus Pereira
K
K
Jäckle
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001178:Arthroplasty / Q000009:adverse effects*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*
D000900:Anti-Bacterial Agents