Báo cáo y học: "Toxic shock syndrome responsive to steroids"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Toxic shock syndrome responsive to steroids. | Journal of Medical Case Reports BioMed Central Case report Toxic shock syndrome responsive to steroids Nikhil Vergis and David A Gorard Address Wycombe Hospital Queen Alexandra Road High Wycombe Bucks HP11 2TT UK Email Nikhil Vergis - nvergis@ David A Gorard - Corresponding author Open Access Published 16 February 2007 Received 8 December 2006 -. J . r I r Accepted 16 February 2007 Journal of Medical Case Reports 2007 1 5 doi 1752-1947-1-5 This article is available from http content 1 1 5 2007 Vergis and Gorard licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Toxic Shock Syndrome is a dangerous disease with clinical features mimicking bacterial sepsis. The best management of Toxic Shock Syndrome is not determined. Case presentation A 28 year-old woman presenting with high fever tachycardia and widespread erythroderma is described. She failed to respond to intravenous antibiotics and required ITU admission. High dose corticosteroids dramatically improved her clinical condition. Conclusion Toxic Shock Syndrome should be considered in the differential diagnosis of unexplained fever rash and features resembling septic shock. Corticosteroids should be considered in the treatment of Toxic Shock Syndrome. Background Toxic Shock Syndrome TSS is a super-antigen mediated potentially fatal disease 1 . Its rarity ensures it is often considered late in the clinical course of the disease and controlled trials on the best management are lacking. A case of TSS is described the illness was refractory to intravenous antibiotics but successfully treated with intravenous steroids. Case report A 28-year-old woman presented to A E with a short .

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