Probable toxic shock syndrome caused by MRSA in a patient after hysterectomy for uterine leiomyoma. A case report.
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Toxic shock syndrome (TSS) is a disorder which shows multiple organ failure. We experienced a case of probable toxic shock syndrome caused by Methicillin resistant Staphylococcus aureus (MRSA) after supracervical hysterectomy for uterine myoma. A-49-year-old woman, diagnosed as uterine myoma and observed conservatively in our out patient clinic, had been admitted in another hospital because of pyelonephritis before she came to our hospital to have a surgical operation. On the next day of the operation, she started to suffer from high fever, oliguria, diarrhea, severe prolonged shock and exfoliation. As MRSA was isolated from skin and feces, this case was diagnosed as probable toxic shock syndrome with MRSA enterocolitis. With intravenous and oral administration of vancomycin hydrochloride (VCM) under intensive care of this systemic condition, this patient recovered dramaticaIIy. TSS should be treated immidiately after a quick diagnosis under intensive care using appropriate antibiotics. [Adv Obstet Gynecol 50 (4); 417-4242, 2, 1998 (H10.7)]
- 近畿産科婦人科学会の論文
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