TOXIC SHOCK SYNDROME IN SCALDED CHILDREN

被引:37
作者
COLE, RP
SHAKESPEARE, PG
机构
[1] Wessex Centre for Plastic and Maxillofacial Surgery, Laing Laboratory for Burn Injury Investigation, Odstock Hospital, Salisbury, Wiltshire
关键词
D O I
10.1016/0305-4179(90)90045-X
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Five patients showing clinical signs resembling the 'toxic shock syndrome' presented over a 4-month period at the Wessex Regional Burns Centre. Toxin-producing isolates of Staphylococcus aureus were made from wound swabs in four of the five patients. Four different phage types producing four different toxins were observed. Seven other patients yielded staphylococci from wound swabs but did not develop the toxic shock syndrome. In three of these latter patients the staphylococcus isolated was toxin producing. Since the syndrome carries a significant mortality risk it is desirable that it is recognized and treated without delay. To this end a simplified set of criteria for the identification of probable toxic shock syndrome cases is proposed. The observations suggest that toxic shock syndrome is more common than previously supposed. The syndrome may show a broad spectrum in its clinical presentation, and involve a wide range of staphylococcal phage types with possible involvement of several different enterotoxins. © 1990.
引用
收藏
页码:221 / 224
页数:4
相关论文
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