Document Detail


Fatal toxic shock syndrome from an intrauterine device.
MedLine Citation:
PMID:  19577335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Toxic shock syndrome is a rare toxin-mediated condition that can rapidly produce multiorgan failure and severe shock. Toxic shock syndrome has been previously recognized in various clinical situations relating to surgery, nasal packing, abscesses, burns, and most notably menstrual-related cases. This case report describes a previously healthy 33-year-old woman presenting to the emergency department with complaints of nausea, vomiting, and diarrhea; vital signs at triage were normal. Within hours, she developed shock and cardiopulmonary arrest. The patient met all 6 of the Centers for Disease Control and Prevention diagnostic criteria for toxic shock syndrome, and her intrauterine device grew out Staphylococcus aureus. To our knowledge, this is the first reported case in the medical literature of fatal toxic shock syndrome related to an intrauterine device.
Authors:
Cameron D Klug; C Ryan Keay; Adit A Ginde
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-03
Journal Detail:
Title:  Annals of emergency medicine     Volume:  54     ISSN:  1097-6760     ISO Abbreviation:  Ann Emerg Med     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-26     Completed Date:  2009-11-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-3     Citation Subset:  AIM; IM    
Affiliation:
Division of Emergency Medicine, Denver Health Medical Center, Denver, CO 80204, USA. klugcd@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-Bacterial Agents / therapeutic use
Combined Modality Therapy
Critical Illness
Device Removal
Disease Progression
Emergency Service, Hospital
Fatal Outcome
Female
Humans
Intrauterine Devices / adverse effects*,  microbiology
Risk Assessment
Shock, Septic / etiology*,  physiopathology,  therapy
Staphylococcal Infections / diagnosis*,  therapy
Staphylococcus aureus / isolation & purification
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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