Staphylococcal toxic shock syndrome because of skin infection - a case report

Abstract

Staphylococcal toxic shock syndrome (STSS) is a toxin-mediated disease. It is a severe fatal disease inducing immune-mediated inflammatory reaction and occurs because of exotoxin produced by Staphylococcus aureus. Common signs and symptoms at the time of presentation lead to misdiagnosis and delay in initiation of treatment. Prognosis depends primarily on early diagnosis and prompt treatment. This is a case of a young adult male presented with fever, rash, and hypotension and diagnosed with STSS.

Keywords: Multi-organ involvement; skin infection; staphylococcal toxic shock syndrome; toxin-mediated inflammatory reaction.

Figure 1

Diffuse macular rash over the palm

Figure 2

Desquamation over the palm after 6–7 days of discharge

Figure 3

Boil and sinus in the pubic region

Figure 4

Conjunctival congestion

Figure 5

Prominent, inflamed, and hypertrophic fungiform papillae with hyperemia, suggestive of a strawberry tongue

Figure 6

CECT thorax showed dense lobar consolidations in the bilateral lower lobe with the area of consolidation in the posterior aspect of the right upper lobe and the multiple scattered nodular area of consolidation with conglomeration in the bilateral upper lobe along with mild bilateral pleural effusion