TSS = TOXIC SHOCK SYNDROME
A SYNDROME FIRST DESCRIBED BY TODD IN 1978—RELATED TO TAMPONS
A PHAGE GROUP I STAPH AUREUS EXOTOXIN (TSST 1)
CAN ALSO BE RELATED TO INTRANASAL PACKING OR EVEN STENTS
35% OF PTS CARRY STAPH AUREUS IN THE NOSE (7% CARRY TSST 1 PRODUCING STAPH)
Dx: TEMP OF 39 OR HIGHER, HYPOTN, N/V/D, OLIGURIA, MYALGIAS, DIC, AND MUCOUS MEMBRANE INFLAMATION AND ERYTHEMA—-PHARYNGITIS ECT…
CLASSICALLY A SCARLITINIFORM RASH (DIFFUSE OR PALMAR ERYTHRODERMA) WITH DESQUAMATION OF THE PALMS OR SOLES 1-2 WEEKS LATER
Rx: PULL PACKS, IVF (COLLOID AND CRYSTALLOID)—ABX CAN PREVENT BUT NOT TREAT TSS