Toxic shock syndrome after functional endonasal sinus surgery: an all or none phenomenon?
| Autor: | Charles W. Gross, Kenneth T. Bellian, Adam C. Abram, William J. Giles |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Adolescent Sphenoid Sinus Mucocele Nose medicine.disease_cause Nasal Polyps Postoperative Complications otorhinolaryngologic diseases Paranasal Sinus Diseases Medicine Humans Tampons Surgical Sinusitis Child Nasal Septum business.industry Organ dysfunction Toxic shock syndrome Maxillary Sinus Staphylococcal Infections bacterial infections and mycoses medicine.disease Rash Shock Septic Surgery medicine.anatomical_structure Otorhinolaryngology Staphylococcus aureus Vomiting Female medicine.symptom Antitoxin business Complication |
| Zdroj: | The Laryngoscope. 104(8 Pt 1) |
| ISSN: | 0023-852X |
| Popis: | Reported cases of toxic shock syndrome (TSS) following nasal surgery or functional endonasal sinus surgery (FESS) are uncommon. Classic TSS is a serious multisystem disorder resulting from Staphylococcus aureus phage I toxic shock syndrome toxin 1 (TSST-1), and it is characterized by fever, rash, hypotension, mucosal hyperemia, vomiting, diarrhea, and laboratory evidence of multisystem organ dysfunction. TSS cases following nasal surgery have been associated with nasal packing, mucosal barrier violation, prior S aureus phage I colonization, as well as low antitoxin antibody levels. Of the 1700 FESS procedures performed at our institution, 3 cases were complicated by classic TSS, with 2 additional patients having a postsurgical course compromised by a milder degree of TSS. Diagnostic criteria, clinical presentation, management, and etiology are discussed, and the possibility of a continuum from mild-to-classic TSS is addressed. |
| Databáze: | OpenAIRE |
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