Abstract

BLANCO, Ana C.; MORENO GOITY, Marisol S.; ORSI, María C.  and  ALBANO, Lidia. Shock tóxico no menstrual por Staphylococcus aureus. Arch. argent. pediatr. [online]. 2005, vol.103, n.5, pp.426-429. ISSN 0325-0075.

Staphylococcal toxic shock syndrome is a multiorganic disease caused by staphylococcal exotoxins. We present this case because this is an unusual disorder in the pediatric age. Case report: this patient was an eight years old female, who was referred to our pediatric intensive care unit because of high respiratory obstruction, respiratory distress, tachycardia, poor peripheral perfusion, altered mental status, skin rash with blisters and generalized edema with facial predominance that started in the twelve hours previous to the admission. Five days before the onset of the disease she presented a luxation of the left shoulder and she had received intramuscular analgesia. Her clinical course deteriorated, increasing her respiratory distress. She was treated with intravenous corticosteroids and subcutaneous epinephrine, assuming the disease as an anaphylactic shock. At admission endotracheal intubation was performed, and intravenous antibiotics (for suspection of sepsis) and inotropics were administered. The patient developed multiorganic failure, isolating in all cultures Staphylococcus aureus. The patient died on day fifteen. This unusual pathology, requires a high clinical suspicion, rapid diagnosis and prompt therapy to avoid its morbidity and mortality.

Keywords : Toxic shock; Pediatrics; Staphylococcus aureus.

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