Lacoste A, Torregrosa A, Dubois S, Apéré H, Oyharçabal V, Carré M, Cayla-Embarek C, Hernandoréna X, Jouvencel P
Service de pédiatrie et néonatologie, centre hospitalier de la Côte-Basque, 13, avenue Interne-J.-Loëb, 64100 Bayonne, France.
Arch Pediatr. 2006 Aug;13(8):1132-4. doi: 10.1016/j.arcped.2006.04.022. Epub 2006 Jun 23.
We report a rare case of mother-infant pair with Staphylococcal Toxic Shock Syndrome (TSS). A term neonate was born by caesarean section for maternal septic syndrome during per-partum. He presented with respiratory distress complicated by pulmonary hypertension, skin rash, and multiple organ system involvement. Staphylococcus aureus was isolated from placenta, surface swabs and gastric aspirate. He received adapted antibiotics, respiratory support by high frequency ventilation and NO. The mother had shock, skin rash and inflammatory syndrome. Outcome was good in both cases. The isolate produced enterotoxin C and L. Shock, exanthematous disease and multi-organ involvement complicating a staphylococcal infection in neonate must lead to suspect a TSS.
我们报告了一例罕见的母婴同时患有葡萄球菌中毒性休克综合征（TSS）的病例。一名足月儿因母亲在分娩期间出现败血症综合征而行剖宫产出生。他出现呼吸窘迫，并伴有肺动脉高压、皮疹和多器官系统受累。从胎盘、体表拭子和胃吸出物中分离出金黄色葡萄球菌。他接受了合适的抗生素治疗，并通过高频通气和一氧化氮进行呼吸支持。母亲出现休克、皮疹和炎症综合征。两例患者预后均良好。分离出的菌株产生肠毒素C和L。新生儿出现休克、皮疹性疾病和多器官受累并发葡萄球菌感染时，必须怀疑为TSS。
