Toxic shock syndrome: an underdiagnosed illness – a case report
Keywords:
Toxic shock syndrome, Systemic inflammatory response, Multiple organ failureAbstract
Staphylococcal toxic shock syndrome is a rare and potentially fatal
illness. Frequently the diagnosis is missed as the initial clinical
features are non-specific. The progression to a toxic condition,
caused by the systemic inflammatory response to toxins produced
by bacteria, is rapid and unless definitive treatment measures are
initiated in the early hours, the end result can be catastrophic due
to multiple organ failure. We report a previously healthy patient
who had features of toxic shock syndrome due to infection by
Staphylococcus aureus, with multiple organ involvement, being
treated successfully with antibiotics and aggressive care support.
This case shows the high morbidity associated to this syndrome;
however successful outcome is possible provided the patient is
kept under close monitoring and proper early treatment is started.
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