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Indian J Pediatr ; 71(5): 433-5, 2004 May.
Article in English | MEDLINE | ID: mdl-15163875

ABSTRACT

The authors present two children who had fever >or=38.9 degree C, diffuse rash, hypotension, deranged renal and hepatic functions, disseminated intravascular coagulation, altered sensorium and inflamed oral mucosa. They responded to fluids, inotropes, antibiotics and intravenous immunoglobulin (2 g/kg). Desquamation particularly of palms and soles and periungal region was noted 1 to 2 weeks after onset of illness. These features were consistent with the diagnosis of staphylococcal toxic shock syndrome (TSS). The cases highlight that TSS is very much with us and can mimic a variety of other diseases. Early recognition, and aggressive antimicrobial supportive and IVIG therapy cover can ensure complete recovery.


Subject(s)
Shock, Septic/diagnosis , Shock, Septic/therapy , Staphylococcal Infections/diagnosis , Staphylococcus aureus/isolation & purification , Anti-Bacterial Agents , Child, Preschool , Combined Modality Therapy , Drainage/methods , Drug Therapy, Combination/therapeutic use , Female , Fluid Therapy , Follow-Up Studies , Humans , Intensive Care Units, Pediatric , Male , Risk Assessment , Staphylococcal Infections/therapy , Treatment Outcome
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