Morrison V A, Oldfield E C
Arch Surg. 1983 Jul;118(7):791-4. doi: 10.1001/archsurg.1983.01390070003001.
Previously, most cases of the toxic shock syndrome (TSS) have been described in a menses-related clinical setting. Recently, however, cases have been described in nonmenses-related clinical settings, in particular, in association with postoperative wound infections. Three cases of TSS occurred as a complication of surgical procedures. Toxic shock syndrome complicated the postoperative course of one patient undergoing routine inguinal herniorrhaphy, to our knowledge the first reported case of this syndrome directly resulting in the patient's death in the postoperative setting. In another case, TSS, with recurrence, resulted from a Staphylococcus aureus wound infection after unilateral salpingo-oophorectomy, to our knowledge the first reported case of recurrence in a nonmenses-related setting.
以前，大多数中毒性休克综合征（TSS）病例是在与月经相关的临床环境中描述的。然而，最近在与月经无关的临床环境中也有病例报道，特别是与术后伤口感染有关。有3例TSS作为外科手术的并发症发生。中毒性休克综合征使1例接受常规腹股沟疝修补术的患者术后病程复杂化，据我们所知，这是该综合征在术后环境中直接导致患者死亡的首例报道病例。在另一例中，单侧输卵管卵巢切除术后金黄色葡萄球菌伤口感染导致TSS复发，据我们所知，这是在与月经无关的环境中复发的首例报道病例。
