Neumann Christian, Kaiser Rene, Bauer Judith
Joint Medical Service (Germany), Department of Internal Medicine, Military Hospital Ulm, Ulm, Germany.
Eur J Case Rep Intern Med. 2020 Jul 22;7(10):001825. doi: 10.12890/2020_001825. eCollection 2020.
Toxic shock syndrome (TSS) is a rare inflammatory response syndrome associated with an infection by toxigenic strains of or group A β-haemolytic . We report a rare case of menstrual TSS associated with usage of a menstrual cup. The diagnosis was established through case definition criteria and supported by vaginal cultural growth of with evidence of TSS toxin 1 (TSST-1). The patient received prophylactic intravaginal clindamycin in an individual approach to reduce the risk of recurrence. No relapse was reported in the 12 months following discharge.
TSS should be considered in female patients presenting with fever, rash, hypotension and current menses. Prompt initiation of antibiotics and supportive care is critical.Menstrual cups may be a rare cause of TSS.Prophylactic antibiotic therapy may reduce the risk of relapse.
中毒性休克综合征（TSS）是一种罕见的炎症反应综合征，与产毒菌株或A组β溶血性链球菌感染有关。我们报告一例罕见的与使用月经杯相关的月经性TSS病例。通过病例定义标准确诊，并得到阴道培养出金黄色葡萄球菌且有TSS毒素1（TSST-1）证据的支持。患者接受了个体化的预防性阴道克林霉素治疗以降低复发风险。出院后12个月未报告复发情况。
对于出现发热、皮疹、低血压且处于经期的女性患者应考虑TSS。及时开始抗生素治疗和支持性护理至关重要。月经杯可能是TSS的罕见病因。预防性抗生素治疗可能降低复发风险。
