van der Meulen M, van Elzakker E P M, van Veen L, van der Lely N
Afd. Kindergeneeskunde, Reinier de Graaf Gasthuis, Reinier de Graafweg 3-11, 2625 AD Delft.
Ned Tijdschr Geneeskd. 2004 Aug 14;148(33):1617-9.
A 16-year-old and a 10-year-old girl were admitted with general signs of illness, and respectively a green vaginal discharge and a panaritium. They recovered following antibiotic treatment and surgical relief of the panaritium. A 2-year-old boy became ill the morning after eating tainted cold meat; he died in the course of the following night. In all 3 patients Staphylococcus aureus was incubated with the toxic-shock-toxin-1-gene and/or the enterotoxin-A-gene. These 3 cases occurred within one year in a general hospital. TSS probably occurs more frequently than is generally assumed. Given that it is a life-threatening disease, rapid diagnosis is of major importance.
一名16岁和一名10岁女孩因全身疾病症状入院,分别出现绿色阴道分泌物和脓性指头炎。她们经抗生素治疗及脓性指头炎手术缓解后康复。一名2岁男孩在食用受污染的冷肉后次日早晨发病,于当晚死亡。在所有3名患者中,均培养出携带中毒性休克综合征毒素1基因和/或肠毒素A基因的金黄色葡萄球菌。这3例病例在一家综合医院一年内发生。中毒性休克综合征可能比普遍认为的更为常见。鉴于它是一种危及生命的疾病,快速诊断至关重要。