![](/images/graphics-bg.png)
Postpartum Methicillin-Resistant Staphylococcus aureus Toxic Shock Syndrome Caused by a Perineal Infection
Joint Authors
Deguchi, Yoko
Horiuchi, Yuko
Shojima, Kensaku
Iwahashi, Naoyuki
Ikejima, Miwa
Ino, Kazuhiko
Furukawa, Kenichi
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Although toxic shock syndrome (TSS) is rare, multiorgan failure can occur without early identification and appropriate therapy.
In particular, a few cases of postpartum TSS due to methicillin-resistant Staphylococcus aureus (MRSA) have been reported.
Here, we describe a rare case in which a 32-year-old Japanese woman had TSS due to MRSA that was caused by a perineal infection after a normal vaginal delivery.
Twelve days after giving birth to a healthy child, she was readmitted to our hospital due to a 2-day fever and perineal pain without uterine tenderness.
She developed emesis and watery diarrhea on the night of admission.
On the second day, a diffuse cutaneous macular rash appeared over her trunk.
Laboratory data revealed deteriorated renal function and thrombocytopenia.
Her history and clinical results were compatible with a typical course of TSS.
Administration of ceftriaxone and clindamycin was started immediately after admission and was effective.
The patient recuperated steadily over the next week with desquamation of the skin.
MRSA was isolated from her vaginal discharge and was found to produce TSS toxin 1 (TSST-1).
Furthermore, since MRSA was not detected in the nasal and vaginal cavity during pregnancy, it suggests that vaginal colonization can also occur postpartum and be the disease source in mothers.
Therefore, MRSA infections should be considered when treating for postpartum TSS.
American Psychological Association (APA)
Deguchi, Yoko& Horiuchi, Yuko& Shojima, Kensaku& Iwahashi, Naoyuki& Ikejima, Miwa& Ino, Kazuhiko…[et al.]. 2018. Postpartum Methicillin-Resistant Staphylococcus aureus Toxic Shock Syndrome Caused by a Perineal Infection. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145661
Modern Language Association (MLA)
Deguchi, Yoko…[et al.]. Postpartum Methicillin-Resistant Staphylococcus aureus Toxic Shock Syndrome Caused by a Perineal Infection. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145661
American Medical Association (AMA)
Deguchi, Yoko& Horiuchi, Yuko& Shojima, Kensaku& Iwahashi, Naoyuki& Ikejima, Miwa& Ino, Kazuhiko…[et al.]. Postpartum Methicillin-Resistant Staphylococcus aureus Toxic Shock Syndrome Caused by a Perineal Infection. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145661
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145661