Shrestha Nipun, Joshi Alisha, Hayashi Yumiko, Shrestha Dhruba, Dhoubhadel Bhim Gopal
Department of Paediatrics, Siddhi Memorial Hospital, Bhaktapur, Nepal.
Department of Clinical Medicine, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Case Rep Infect Dis. 2022 May 31;2022:8111620. doi: 10.1155/2022/8111620. eCollection 2022.
toxic shock syndrome (TSS) is not well described in neonates. The present criteria for diagnosis of TSS have not yet been validated in neonates. Here, we present a case of a 13-day-old female baby who presented with acute kidney injury (AKI). She had a pus-draining lesion on the head, and the pus grew . Based on the clinical criteria of fever, desquamation, hypotension, and AKI and laboratory criteria of absence of growth of any organisms in blood and cerebrospinal fluid, we diagnosed the case as TSS. She was treated with antibiotics, oxygen, and fluids, along with inotropic support and mechanical ventilation, and she recovered fully and was discharged on day 17 of admission. As there is no single test to diagnose TSS and it is uncommon in neonates, physicians should be familiar with the clinical presentation of the disease to make early diagnosis.
中毒性休克综合征（TSS）在新生儿中的描述并不充分。目前TSS的诊断标准尚未在新生儿中得到验证。在此，我们报告一例13日龄女婴，她出现了急性肾损伤（AKI）。她头部有一个排脓病灶，脓液培养出……根据发热、脱皮、低血压和AKI的临床标准以及血液和脑脊液中无任何微生物生长的实验室标准，我们将该病例诊断为TSS。她接受了抗生素、氧气和液体治疗，同时给予了强心支持和机械通气，她完全康复并于入院第17天出院。由于没有单一的检测方法来诊断TSS，且TSS在新生儿中并不常见，医生应熟悉该疾病的临床表现以便早期诊断。
