Bacha E A, Sheridan R L, Donohue G A, Tompkins R G
Massachusetts General Hospital, Department of Surgery, Harvard Medical School, Boston.
Burns. 1994 Dec;20(6):499-502. doi: 10.1016/0305-4179(94)90005-1.
A case of staphylococcal toxic shock syndrome (TSS) in a 15-year-old patient undergoing reconstructive burn surgery is reported. This syndrome, first described in menstruating women using tampons, can also occur as a postsurgical complication. The epidemiology, microbiology, clinical presentation and management of non-menstrual TSS are discussed and correlated with the patient present. We advise caution in the use of occlusive dressings and recommend constant isolation of patients with open wounds colonized with a TSST-1 producing strain of Staph. aureus.
报告了一例15岁接受烧伤重建手术的患者发生葡萄球菌中毒性休克综合征（TSS）的病例。该综合征最初在使用卫生棉条的月经期女性中被描述，也可作为术后并发症出现。讨论了非月经期TSS的流行病学、微生物学、临床表现及处理方法，并与该患者的情况进行了关联。我们建议谨慎使用封闭敷料，并建议对伤口被产TSST-1的金黄色葡萄球菌菌株定植的开放性伤口患者持续进行隔离。
