Saissy J M, Rouvin B, Donnard G, Brisou J, Chateau J
Service d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Sainte-Anne, Toulon-Naval.
Ann Fr Anesth Reanim. 1988;7(1):73-5. doi: 10.1016/s0750-7658(88)80016-9.
A case of toxic shock syndrome occurring during a menstrual period, and associated with severe hypophosphataemia, is reported. The patient was a 21-year old woman using tampons. On the fourth day, she developed encephalopathy with decreased consciousness and hyperventilation. Severe hypophosphataemia was noted. A phage-group-1 Staphylococcus aureus, producing TSST-1 and enterotoxin A, was isolated from vaginal, pharyngeal and skin sites. Pathogenesis and role of hypophosphataemia in toxic shock syndrome are emphasized.
报告了一例在月经期发生的中毒性休克综合征病例，该病例伴有严重低磷血症。患者为一名21岁使用卫生棉条的女性。在第四天，她出现了意识减退和通气过度的脑病。发现严重低磷血症。从阴道、咽部和皮肤部位分离出一株产生TSST-1和肠毒素A的1组噬菌体金黄色葡萄球菌。强调了低磷血症在中毒性休克综合征中的发病机制和作用。
