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Case Reports
. 2017 Apr-Jun;8(2):92-94.
doi: 10.4103/jmh.JMH_93_16.

Toxic Shock Syndrome within 24 H of an Office Hysteroscopy

Nanak Bhagat  1 , Akilandeshwari Karthikeyan  1 , Sanjaya Kalkur  1
Affiliations
Case Reports

Toxic Shock Syndrome within 24 H of an Office Hysteroscopy

Nanak Bhagat et al. J Midlife Health. 2017 Apr-Jun.

Abstract

Office hysteroscopy is now a common procedure performed to look at the endometrial cavity and is relatively free of serious complications. A 68-year-old lady, previously fit and well, presented with abdominal pain, rigors, sweats, and vomiting within 24 h of an outpatient hysteroscopy for postmenopausal bleeding. She was diagnosed with streptococcal toxic shock syndrome (STSS) due to Group A beta-hemolytic streptococci. She was managed in the Intensive Care Unit, with inotropic and antibiotic support. She recovered eventually and was discharged home with oral antibiotics. Toxic shock syndrome due to Streptococci is an unusual occurrence, whose incidence has been slowly increasing over the years. However, this appears to be the first case of STSS manifesting within 24 h following an outpatient hysteroscopy.

Keywords: Complication; office hysteroscopy; outpatient hysteroscopy; streptococcal toxic shock syndrome.

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Conflict of interest statement

There are no conflicts of interest.

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References

    1. Royal College of Obstetricians and Gynaecologists. Green Top Guideline No. 59: Best Practice in Outpatient Hysteroscopy. London: Royal College of Obstetricians and Gynaecologists; 2011.
    1. Jansen FW, Vredevoogd CB, van Ulzen K, Hermans J, Trimbos JB, Trimbos-Kemper TC. Complications of hysteroscopy: A prospective, multicenter study. Obstet Gynecol. 2000;96:266–70. - PubMed
    1. Royal College of Obstetricians and Gynaecologists. Consent Advice No. 1: Diagnostic Hysteroscopy Under General Anaesthesia. London: Royal College of Obstetricians and Gynaecologists; 2008.
    1. Wacker C, Prkno A, Brunkhorst FM, Schlattmann P. Procalcitonin as a diagnostic marker for sepsis: A systematic review and meta-analysis. Lancet Infect Dis. 2013;13:426–35. - PubMed
    1. Gimpelson RJ, Whalen TR. Hysteroscopy as gold standard for evaluation of abnormal uterine bleeding. Am J Obstet Gynecol. 1995;173:1637–8. - PubMed

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