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Summary

The majority of toxic shock syndrome cases are caused by a specific toxin, toxic shock syndrome toxin 1, produced by some strains of Staphylococcus aureus. These organisms are common inhabitants of hospitals and are difficult to control because of development of resistance to antibiotics. A number of cases of toxic shock syndrome have resulted from staphylococcal infected incisions in surgery patients following many different types of surgical procedures, including nasal operations. In some cases the staphylococcal strain isolated from the infection was identical to one isolated from the surgeon.

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References

  1. Barbour SD, Shales DM, Guertin SR. Toxic-shock syndrome associated with nasal packing: analogy to tampon-associated illness. Pediatrics 73: 163–163, 1984.

    Google Scholar 

  2. Bartlett P, Reingold AL, Graham DR, Dan BB, Selinger DS, Tank GW, Wichterman KA. Toxic shock syndrome associated with surgical wound infections. J Am Med Assoc 247: 1448–1450, 1982.

    Article  Google Scholar 

  3. Bergdoll MS, Schlievert PM. Toxic shock syndrome toxin. Lancet ii: 691.

    Google Scholar 

  4. Breda SD, Jacobs JB, Lebowitz AS, Tiemo PM. Toxic shock syndrome in nasal surgery: a physicochemical and microbiologie evaluation of Merocel® and Nu-Gauze® basal packing. Laryngoscope 97: 1388–1391, 1987.

    Article  Google Scholar 

  5. Crass BA, Bergdoll MS. Toxin involvement in toxic shock syndrome. J Infect Dis 153: 918–926, 1986.

    Article  Google Scholar 

  6. Crass BA, Bergdoll MS. Involvement of staphylococcal enterotoxins in nonmenstrual toxic shock syndrome. J Clin Microbiol 23: 1138–1139, 1986.

    Google Scholar 

  7. Davis JP, Chesney PJ, Wand PJ, LaVenture M.D Toxic-shock syndrome: epidemiological features, recurrence, risk factors, and prevention. N Eng J Med 303: 1429 1435, 1980.

    Google Scholar 

  8. Farber BF, Broome CV, Hopkins CC. Fulminant hospital-acquired toxic shock syndrome. Am J Med 77: 331–332.

    Google Scholar 

  9. Jacobson JA, Kasworm EM, Crass BA, Bergdoll MS. Nasal carriage of toxigenicStaphylococcus aureus and prevalence of serum antibody to toxic-shock-syndrome toxin 1 in Utah. J Infect Dis 153: 356–359, 1986.

    Article  Google Scholar 

  10. Kreiswirth BN, Kravitz GR, Schlievert PM, Novick RP. Nosocomial transmission of a strain of Staphylococcus aureus causing toxic shock syndrome. Ann Intern Med 105: 704–707, 1986.

    Google Scholar 

  11. MacDonald KL, Osterholm MT, Hedberg CW, Schrock CG, Peterson GF, Jentzen JM, Leonard SA, Schlievert PM. Toxic shock syndrome. A newly recognized complication of influenza and influenzalike illness. J Am Med Assoc 257: 1053–1058, 1987.

    Article  Google Scholar 

  12. Milner LS, De Jager J, Thompson PD, Doehring RO. Toxic shock syndrome caused by staphylococcal enterotoxin B. A report of two cases in children. S African Med J 63: 822–824, 1983.

    Google Scholar 

  13. Moyer MA, Edwards LD, Bergdoll MS. Nosocomial toxic-shock syndrome in two patients after knee surgery. Am J Infect Control 11: 83–87, 1983.

    Article  Google Scholar 

  14. Nahass RG, Goske DJ. Toxic shock syndrome associated with use of a nasal tampon. Am J Med 84: 629–631, 1988.

    Article  Google Scholar 

  15. Ritz HL, Kirkland JJ, Bond GG, Warner EK, Petty GP. Association of high levels of serum antibody to staphylococcal toxic shock antigen with nasal carriage of toxic shock antigen-producing strains of Staphylococcus aureus. Infect Immun 43: 954–958, 1984.

    Google Scholar 

  16. Schlievert PM. Staphylococcal enterotoxin B and toxic shock syndrome toxin 1 are significantly associated with nonmenstrual toxic shock syndrome. Lancet is 1149, 1986.

    Google Scholar 

  17. Shands KN, Schmid GP, Dan BB, Blum D, Guidotti RJ, Hargrett NT, Anderson RL, Hill DL, Broome CV, Band JD, Fraser DW. Toxic-shock syndrome in menstruating women: association with tampon use and Staphylococcus aureus and clinical features in 52 cases. N Eng J Med 303: 1436–1442, 1980.

    Article  Google Scholar 

  18. Surgalla MJ, Dack GM. Enterotoxin produced by micrococci from cases of enteritis after antibiotic therapy. J Am Med Assoc 158: 649–650, 1955.

    Article  Google Scholar 

  19. Todd J, Fishaut M, Kapral F, Welch T. Toxic-shock syndrome associated with phage-group-I staphylococci. Lancet ii: 1116–1118, 1978.

    Article  Google Scholar 

  20. Vergeront JM, Stolz SJ, Crass BA, Nelson DB, Davis JP, Bergdoll MS. Prevalence of serum antibody to staphylococcal enterotoxin F among Wisconsin residents: implications for toxic-shock syndrome. J Infect Dis 148: 692–698, 1983.

    Article  Google Scholar 

  21. Wagner R, Toback JM. Toxic shock syndrome following septoplasty using plastic septal splints. Laryngoscope 96: 609–610, 1986.

    Article  Google Scholar 

  22. Weinstein HJ. The relation between the nasal-staphylococcal-carrier state and the incidence of postoperative complications. N Eng J Med 260: 1303–1308, 1959.

    Article  Google Scholar 

  23. Westenfelder G, Steinberg JP, Bergdoll MS. unpublished data, 1987.

    Google Scholar 

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© 1990 Springer-Verlag London Limited

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Bergdoll, M.S. (1990). Toxic Shock Syndrome from Surgical Infections. In: Wadström, T., Eliasson, I., Holder, I., Ljungh, Å. (eds) Pathogenesis of Wound and Biomaterial-Associated Infections. Springer, London. https://doi.org/10.1007/978-1-4471-3454-1_15

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  • DOI: https://doi.org/10.1007/978-1-4471-3454-1_15

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-19596-2

  • Online ISBN: 978-1-4471-3454-1

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