Toxic shock syndrome following repair of a ligament of the knee

Dreghorn, C R; Graham, James D. P.; Rae, P S

doi:10.1016/0020-1383(87)90063-5

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…Samples from the operation tested positive for TSST-1 and staphylococcal enterotoxin C. In this case, the wires were not removed by the authors as they wanted to preserve the alignment of the elbow joint. Other cases of TSS have been described in adults who had ligament repairs of the knee and lumbar laminectomy 10 11…”

Section: Discussionmentioning

confidence: 99%

Toxic shock syndrome post open reduction and Kirschner wire fixation of a humeral lateral condyle fracture

Chan¹,

Selvaratnam

Garg

2015

BMJ Case Reports

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Use of Kirschner wires (K-wires) is the most common method of fracture stabilisation in lateral condyle fracture fixation in children. We report a case of toxic shock syndrome (TSS) following an open reduction and internal fixation using K-wires for a humeral lateral condyle fracture in a 5-year-old girl. TSS is a toxin-mediated multisystem illness. It typically presents with shock and it is most often attributed to toxin-producing strains of Staphylococcus aureus and Streptococcus pyogenes. It can lead to multiorgan failure and, ultimately, death. It is important to be aware of TSS, as it can present within any setting. Patients often have non-specific symptoms and their condition can worsen rapidly. TSS postorthopaedic surgery is rare; however, due to the serious nature of this disease, it is important to promptly recognise and diagnose TSS, and to ensure appropriate treatment is started without delay.

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Section: Discussionmentioning

confidence: 99%