Johnson D, Pathirana P D R
Department of Plastic and Reconstructive Surgery, Salisbury District Hospital, Odstock, Salisbury, Wiltshire, UK.
Burns. 2002 Mar;28(2):181-4. doi: 10.1016/s0305-4179(01)00084-5.
Toxic shock syndrome (TSS) is a rare but serious complication of burns in children. Symptoms usually start within 3 days of the burn injury and even children with minor burns can be susceptible. Prompt diagnosis and rapid treatment is crucial in limiting the morbidity associated with this condition. We report here a 19-month-old child with a 2% scald who developed TSS following cessation of a 5-day course of flucloxacillin. This case highlights a number of issues regarding the use of prophylactic antibiotics and TSS as well as illustrating the continuing need to educate parents concerning the importance of seeking a prompt medical opinion if the child becomes ill following even a minor burn injury.
中毒性休克综合征（TSS）是儿童烧伤中一种罕见但严重的并发症。症状通常在烧伤后3天内出现，即使是轻度烧伤的儿童也可能易感。及时诊断和快速治疗对于限制与该病症相关的发病率至关重要。我们在此报告一名19个月大的儿童，其2%体表面积烫伤，在停用5天的氟氯西林疗程后发生了TSS。该病例突出了一些关于预防性抗生素使用和TSS的问题，同时也表明持续需要教育家长，让他们了解即使孩子只是轻度烧伤后生病，寻求及时医疗意见的重要性。
