Sperber S J, Blevins D D, Francis J B
Department of Internal Medicine, University of Virginia, School of Medicine, Charlottesville.
Rev Infect Dis. 1990 Sep-Oct;12(5):736-9. doi: 10.1093/clinids/12.5.736.
Toxic shock syndrome is a multisystem illness frequently complicated by hypocalcemia. The etiology of the hypocalcemia, which may be severe, is not well understood. We report two cases of fatal toxic shock syndrome accompanied by severe hypocalcemia; each patient also had an inappropriately elevated serum calcitonin level, which in one case was as high as 179,000 pg/mL. Hypercalcitoninemia may be a cause of the low serum calcium levels as well as of certain clinical manifestations of toxic shock syndrome.
中毒性休克综合征是一种多系统疾病，常伴有低钙血症。低钙血症的病因尚不完全清楚，其可能较为严重。我们报告两例致命性中毒性休克综合征伴严重低钙血症的病例；每位患者的血清降钙素水平也异常升高，其中一例高达179,000 pg/mL。高降钙素血症可能是血清钙水平降低以及中毒性休克综合征某些临床表现的原因。
