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ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2001, Number 2

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Perinatol Reprod Hum 2001; 15 (2)

Síndrome de choque tóxico secundario a cirugía ginecológica

Figueroa-Damián R, Aguilar-Barajas I

Language: Spanish
References: 12
Page: 152-157
PDF size: 183.75 Kb.


ABSTRACT

The toxic shock syndrome is a multisystemic infection due to toxin-secreting strains of Staphylococcus aureus. Criteria for the diagnosis include: fever, erythroderma, hypotension, skin desquamation and dysfunction of 3 or more organ system. Currently 2 types of TSS are described: the classical, menses-associated due to the TSST-1, and the nonmenstrual TSS, secondary to surgical infections, postpartum, trauma or barrier contraceptives, which is due to the enterotoxins B or C.
We present the case of a woman with a surgical infection secondary to an exploratory laparotomy who developed a TSS 5 days after the surgical procedure; she had an isolation of S. aureus from a blood culture. She was treated with surgical debridament of the wound and antimicrobial therapy with antibiotics against S. aureus. The outcome was successful.


REFERENCES

  1. Todd J, Fishaut M, Kapral M, et al. Toxic shock syndrome associate with phage-group-1 Staphylococci. Lancet 1978; 2: 1116-8.

  2. Davis JP, Chesney PJ, Wad PJ. Toxic shock syndrome: epidemiologist features, recurrence, risk factors and prevention. N Engl J Med 1980; 303: 1429-35.

  3. Waldvogel FA. Staphylococcus aureus (inclu-ding toxic shock syndrome). En: Mandell G, Bennett J, Dolin R, editores. Principles and Practice of Infectious Diseases. 4º ed. New York: Churchill- Livingstone; 1995. p. 1754-76.

  4. Lowy FD. Staphyloccocus aureus infections. N Engl J Med 1998; 339: 520-32.

  5. Reningold AL. Toxic shock syndrome: An update. Am J Obstet Gynecol 1991; 165: 1236-9.

  6. Chesney PJ, Davis JP, Pardy WK. Clinical manifestations of toxic shock syndrome. JAMA 1981; 245: 741-8.

  7. Gaventa S, Reingold AL, Hightower AW. Active surveillance for toxic shock syndrome in United States, 1986. Rev Infect Dis 1989; 11: 528-34.

  8. Kain KC, Schulzer M, Chow AW. Clinical spectrum of nonmenstrual Toxic Shock Syndrome (TSS): Comparison with menstrual TSS by multivariate discriminant analyses. Clin Infect Dis 1993; 16: 100-6.

  9. Reingold AL, Hargrett NT, Dan BB. Nonmenstrual toxic shock syndrome. A review of 130 cases. Ann Intern Med 1982; 96: 871-4.

  10. Stevens DL. The toxic shock syndromes. Infect Dis Clin North Am 1996; 10: 727-44.

  11. Stevens DL, Bryant AE, Hackett SP. Sepsis syndrome and toxic shock syndrome: Concepts in pathogenesis and a perspective of future treatment strategies. Curr Opin Infect Dis 1993; 6: 374-83.

  12. Hernández G, Castro J, Branders V. Shock séptico. En: Castro J, Hernández G, editores. Sepsis y falla multiorgánica 2º ed. Santiago de Chile: Mediterráneo Ltd; 1999. p. 169-78.




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