When All Else Fails: A Rare Case of Postoperative Toxic Shock Syndrome Arising from Surgical Site Infection after Decompressive Neurectomy Successfully Treated with Angiotensin-2

Toxic shock syndrome is a serious complication of Streptococcus pyogenes or Staphylococcus aureus infections associated with very high morbidity and mortality. Postoperative toxic shock syndrome is an extremely rare phenomenon which manifests as fevers, diffuse rash, septic shock, and death. We pres...

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Published in:Case reports in critical care 2021-02, Vol.2021, p.1-4
Main Authors: Chandra, Raghav, Gold, Samuel, Kohler, Casey, Valladares, Jason, Hennessy, Sara A., Bhat, Sneha G.
Format: Article
Language:English
Subjects:
Acidosis
Amputation
Antibiotics
Case Report
Case reports
Critical care
Dopamine
Ejection fraction
Fever
Hypotension
Meningitis
Mortality
Patients
Respiratory distress syndrome
Sepsis
Streptococcus infections
Surgical site infections
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description Toxic shock syndrome is a serious complication of Streptococcus pyogenes or Staphylococcus aureus infections associated with very high morbidity and mortality. Postoperative toxic shock syndrome is an extremely rare phenomenon which manifests as fevers, diffuse rash, septic shock, and death. We present the first reported case of toxic shock syndrome associated with a surgical site infection from a decompressive neurectomy for refractory migraines in a 41-year-old female as well as the first use of angiotensin-2 vasopressor therapy to treat persistent septic shock from toxic shock syndrome refractory to conventional therapies.
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subjects Acidosis
Amputation
Antibiotics
Case Report
Case reports
Critical care
Dopamine
Ejection fraction
Fever
Hypotension
Meningitis
Mortality
Patients
Respiratory distress syndrome
Sepsis
Streptococcus infections
Surgical site infections
title When All Else Fails: A Rare Case of Postoperative Toxic Shock Syndrome Arising from Surgical Site Infection after Decompressive Neurectomy Successfully Treated with Angiotensin-2
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