title: Unusual staphylococcal toxic shock syndrome presenting as a scarlet-like fever.
abstract: Diagnosis of nonmenstrual staphylococcal toxic shock syndrome (TSS) is often challenging. A female medical colleague had a rare entity, a staphylococcal pharyngitis complicated by TSS. The diagnosis was confirmed by isolation of tst-positive Staphylococcus aureus in throat culture and by identification of a specific Vβ2 expansion pattern of her T lymphocytes. Recent improvements in microbiology can be of great help for the diagnosis of nonmenstrual TSS.
authors.affiliation: Service of Infectious Diseases, Department of Medical Specialties, Switzerland.
authors.forename: D O
authors.initials: DO
authors.lastname: Andrey
authors.affiliation: Hospices Civils de Lyon, CIRI, Université Lyon 1, Inserm U1111, CNRS UMR5308, Ecole Normale Supérieure de Lyon, Centre National de Référence des Staphylocoques, Lyon, France.
authors.forename: T
authors.initials: T
authors.lastname: Ferry
authors.affiliation: Intensive Care Unit, Department of Anaesthesiology, Pharmacology and Intensive Care, Switzerland.
authors.forename: N
authors.initials: N
authors.lastname: Siegenthaler
authors.affiliation: St Helens Clinical Commissioning Group, United Kingdom.
authors.forename: C
authors.initials: C
authors.lastname: Fletcher
authors.affiliation: Service of Infectious Diseases, Department of Medical Specialties, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Calmy
authors.affiliation: Hospices Civils de Lyon, CIRI, Université Lyon 1, Inserm U1111, CNRS UMR5308, Ecole Normale Supérieure de Lyon, Centre National de Référence des Staphylocoques, Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Lina
authors.affiliation: Service of Infectious Diseases, Department of Medical Specialties, Switzerland ; Bacteriology Laboratory, Department of Laboratories and Genetic Medicine, University Hospitals of Geneva, Geneva, Switzerland.
authors.forename: S
authors.initials: S
authors.lastname: Emonet
keywords: Non menstrual TSS; Staphylococcus aureus; StrepA rapid antigenic test; Vbeta T lymphocytes expansion; scarlet fever