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Case Reports
. 2022 May 31:2022:8111620.
doi: 10.1155/2022/8111620. eCollection 2022.

A Rare Case of Staphylococcal Toxic Shock Syndrome in a Neonate

Nipun Shrestha  1 , Alisha Joshi  1 , Yumiko Hayashi  2   3 , Dhruba Shrestha  1 , Bhim Gopal Dhoubhadel  3   4
Affiliations
Case Reports

A Rare Case of Staphylococcal Toxic Shock Syndrome in a Neonate

Nipun Shrestha et al. Case Rep Infect Dis. .

Abstract

Staphylococcus toxic shock syndrome (TSS) is not well described in neonates. The present criteria for diagnosis of TSS have not yet been validated in neonates. Here, we present a case of a 13-day-old female baby who presented with acute kidney injury (AKI). She had a pus-draining lesion on the head, and the pus grew Staphylococcus aureus. Based on the clinical criteria of fever, desquamation, hypotension, and AKI and laboratory criteria of absence of growth of any organisms in blood and cerebrospinal fluid, we diagnosed the case as TSS. She was treated with antibiotics, oxygen, and fluids, along with inotropic support and mechanical ventilation, and she recovered fully and was discharged on day 17 of admission. As there is no single test to diagnose TSS and it is uncommon in neonates, physicians should be familiar with the clinical presentation of the disease to make early diagnosis.

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Conflict of interest statement

The authors declare that they no conflicts of interest.

Figures

Figure 1
Figure 1
A pus-draining lesion on the scalp and skin desquamation on the trunk.
Figure 2
Figure 2
Whitish colonies of Staphylococcus aureus in a 5% sheep blood agar plate.
Figure 3
Figure 3
Skin desquamation on the right leg.
See this image and copyright information in PMC

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