Holm C, Mühlbauer W
Department of Plastic and Reconstructive Surgery, Klinikum Bogenhausen, Academic Teaching Hospital, Munich, Germany.
Aesthetic Plast Surg. 1998 May-Jun;22(3):180-4. doi: 10.1007/s002669900188.
Toxic shock syndrome (TSS) is a rapidly developing disease, which may be lethal if not recognized and treated early. TSS unrelated to menstruation comprises an increasing proportion of the cases reported to the Centers for Disease Control during recent years, and a review of the literature reveals that TSS has is reported with increasing frequency in plastic surgical patients as well. The majority of reports relates to aesthetic plastic surgical procedures such as rhinoplasty, augmentation mammaplasty liposuction, and chemical peeling, but cases of TSS following reconstructive breast surgery with musculocutaneous flaps have also been reported. A common denominator seems to be that TSS occurs unexpectedly in healthy patients. Nonmenstrual TSS is apparently associated with a higher mortality rate than TSS associated with menstruation. We report on a case of TSS after exchange of silicone implants and resection of a siliconoma in a 59-year-old woman. Details of the case and a review of the literature are presented.
中毒性休克综合征（TSS）是一种发展迅速的疾病，若不及早识别和治疗可能会致命。近年来，向疾病控制中心报告的与月经无关的TSS病例所占比例不断增加，文献综述显示，整形外科患者中TSS的报告频率也在增加。大多数报告涉及隆鼻术、隆乳术、吸脂术和化学剥脱术等美容整形手术，但也有采用肌皮瓣的乳房重建手术后发生TSS的病例报告。一个共同特征似乎是TSS在健康患者中意外发生。非月经性TSS的死亡率显然高于与月经相关的TSS。我们报告一例59岁女性在更换硅胶植入物和切除硅瘤后发生TSS的病例。文中介绍了该病例的详细情况并对文献进行了综述。
