title: [Toxic shock syndrome after open ankle fracture].
abstract: The treatment of open fractures is a challenge for the attending surgeon. Depending on the severity, the risk of infection rises up to 50%. Local infection up to the point of sepsis can develop in spite of surgical and antimicrobial therapy. The present case demonstrates the case of an 18-year-old man who developed toxic shock syndrome (TSS) after an open ankle fracture. This potentially life-threating syndrome usually presents with the main symptoms of fever, hypotension and exanthema and is caused by toxins, such as toxic shock syndrome toxin 1 (TSST-1) and staphylococcal enterotoxins A-D. In some cases it is associated with cardiopulmonary decompensation and can rapidly progress to multiorgan failure.
authors.affiliation: Klinik für Unfallchirurgie (Traumatologie), Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Deutschland, Tim.Klueter@uksh.de.
authors.forename: T
authors.initials: T
authors.lastname: Klüter
authors.forename: S
authors.initials: S
authors.lastname: Fitschen-Oestern
authors.forename: M
authors.initials: M
authors.lastname: Weuster
authors.forename: H
authors.initials: H
authors.lastname: Fickenscher
authors.forename: A
authors.initials: A
authors.lastname: Seekamp
authors.forename: S
authors.initials: S
authors.lastname: Lippross
mesh_terms: D000293:Adolescent; D064386:Ankle Fractures / Q000175:diagnosis* / Q000628:therapy*; D003131:Combined Modality Therapy / Q000379:methods; D003937:Diagnosis, Differential; D005597:Fractures, Open / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D012772:Shock, Septic / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome