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. 2020 Nov 30:1-5.
doi: 10.1007/s00112-020-01075-8. Online ahead of print.

[Toxic shock syndrome due to Staphylococcus aureus in a small child, a (clinical or laboratory chemical) visual diagnosis?]

[Article in German]
C Konietzka  1 , M Schneider-Kruse  1 , D Knaack  2 , C Krüger  1 , F Layer  3 , M Endmann  1
Affiliations

[Toxic shock syndrome due to Staphylococcus aureus in a small child, a (clinical or laboratory chemical) visual diagnosis?]

[Article in German]
C Konietzka et al. Monatsschr Kinderheilkd. .

Abstract
in English, German

It is reported about the case of a 3-year-old girl who was admitted to hospital with high fever, vomiting, skin rash, dehydration, suspected staphyloderma and for exclusion of a severe acute respiratory syndrome coronavirus type 2-infection (SARS-CoV‑2 infection). The suspicion of a toxic shock syndrome, among other inflammatory diseases as differential diagnoses, was based on profound erythroderma and arterial hypotension. The diagnostic pathway, treatment and clinical course of this rare disease are described.

Vorgestellt wird der Fall eines 3‑jährigen Mädchens, das mit hohem Fieber, Erbrechen, unklarem Exanthem, Dehydratation, Verdacht auf Staphylodermie und zum Ausschluss einer SARS-CoV-2-Infektion (Severe acute respiratory syndrome coronavirus type 2) stationär eingewiesen wurde. Der Verdacht auf ein toxisches Schocksyndrom kam durch eine erhebliche Erythrodermie und arterielle Hypotonie auf; andere Inflammationskrankheiten standen zur Differenzialdiagnostik. Der diagnostische Pfad, die Therapie und der klinische Verlauf dieser seltenen Erkrankung werden beschrieben.

Keywords: Pediatric inflammatory multisystem syndrome; Staphylococci; TSST‑1; Toxin producer; Toxin-mediated infection.

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References

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