Galpérine T, Neau D, Lina G, Richez C, Cazeau A L, Dutronc H, Dupon M, Ragnaud J M
Hôpital Pellegrin, 33076 Bordeaux.
Presse Med. 2003 Jul 12;32(24):1121-2.
Staphylococcal toxic shock replies to precise clinical-biological criteria; but can be difficult to diagnose. Today, the nonmenstrual form of shock is the most frequent. The incidence of menstrual shock is low but their potential severity must be recalled.
A young 14 year-old girl and a 33 year-old woman presented with menstrual shock that was treated successfully. A relapse in the form of staphylococcal scarlet fever occurred in the second patient. In both cases, the strain Staphylococcus aureus, which produces the TSST-1 toxin, had been identified.
The possibility of the occurrence of a menstrual staphylococcal shock in the year 2002 must be known. The polymorphism of the clinical and biological manifestations must be underlined. The search for a toxin can be conducted in an appropriate centre.
葡萄球菌性中毒性休克符合精确的临床生物学标准，但可能难以诊断。如今，非经期形式的休克最为常见。经期休克的发病率较低，但必须提醒注意其潜在的严重性。
一名14岁年轻女孩和一名33岁女性出现经期休克，均成功治愈。第二名患者出现了葡萄球菌性猩红热形式的复发。在这两例病例中，均已鉴定出产生TSST-1毒素的金黄色葡萄球菌菌株。
必须了解2002年发生经期葡萄球菌性休克的可能性。必须强调临床和生物学表现的多态性。可在合适的中心进行毒素检测。
