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与隆鼻整形手术相关的葡萄球菌性中毒性休克综合征

Staphylococcal Toxic Shock Syndrome Associated With a Cosmetic Rhinoplasty Procedure.

作者信息

Kitagawa Nanako, Umemoto Daichi, Nishioka Hiroaki

机构信息

Department of General Internal Medicine, Kobe City Medical Center General Hospital, Kobe, JPN.

出版信息

Cureus. 2025 Jul 8;17(7):e87549. doi: 10.7759/cureus.87549. eCollection 2025 Jul.

Abstract

Staphylococcal toxic shock syndrome (TSS) is a rare but life-threatening condition. Here, we present a case of a 25-year-old woman who developed staphylococcal TSS following cosmetic rhinoplasty. Two days before her hospital admission, she had undergone cosmetic rhinoplasty and experienced fever, vomiting, and skin rash following the procedure. On admission, she presented with hypotension. TSS was suspected, and treatment comprising fluid resuscitation, vasopressors, and antibiotics was promptly initiated. On examination, methicillin-susceptible ​​​​​  was identified in nasal swab specimens. She recovered within a few days, and desquamation was observed later. Although rare, TSS should be recognized as a serious complication of cosmetic surgeries, particularly given the significant increase in the number of such procedures worldwide.

摘要

葡萄球菌中毒性休克综合征(TSS)是一种罕见但危及生命的病症。在此,我们报告一例25岁女性在隆鼻整形术后发生葡萄球菌性TSS的病例。入院前两天,她接受了隆鼻整形手术,术后出现发热、呕吐和皮疹。入院时,她表现为低血压。怀疑为TSS,立即开始进行包括液体复苏、血管加压药和抗生素在内的治疗。检查发现鼻拭子标本中存在对甲氧西林敏感的[此处原文缺失具体内容]。她在几天内康复,随后观察到脱皮现象。尽管罕见,但TSS应被视为整形手术的严重并发症,特别是考虑到全球此类手术数量的显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/696c/12333903/6b4fd0d9a0ec/cureus-0017-00000087549-i01.jpg

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