Staphylococcal toxic shock syndrome (STSS) is a multi-visceral failure syndrome that has been known for 40 years in its classical menstrual form, but too often underestimated in non-menstrual presentations, which are the most common and severe forms. Its morbi-mortality is related to therapeutic delays, highlighting the importance of its rapid recognition in order to optimise patients' management by intensive care anaesthesists. Yet STSS's etiological treatment is simple, based on an anti-toxin antibiotic treatment. We reported a series of cases showing that clinicians' experiences and early treatment of the STSS have a direct impact on time to resolution. We detailed STSS's specific clinical presentation and discussed the contributing factors and current diagnostic means.
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Bichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, FranceBichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Atchade, Enora
De Tymowski, Christian
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Bichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Paris Cite Univ, UFR Diderot, F-75018 Paris, France
Bichat Claude Bernard Hosp, INSERM UMR 1149, Immunoreceptor & Renal Immunopathol, F-75018 Paris, FranceBichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
De Tymowski, Christian
Grall, Nathalie
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Paris Cite Univ, UFR Diderot, F-75018 Paris, France
Paris Cite Univ, Bichat Claude Bernard Hosp, AP HP, Bacteriol Dept, F-75018 Paris, France
INSERM UMR 1137, Infect Antimicrobials Modelling Evolut, F-75018 Paris, FranceBichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Grall, Nathalie
Tanaka, Sebastien
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Bichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Reunion Univ, INSERM, UMR 1188, Diabet Atherothrombosis Reunion Ocean Indien DeTRO, F-97400 St Denis De La Reunion, FranceBichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Tanaka, Sebastien
Montravers, Philippe
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Bichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
Paris Cite Univ, UFR Diderot, F-75018 Paris, France
INSERM UMR 1152 ANR 10 LABX 17, Pathophysiol & Epidemiol Resp Dis, F-75018 Paris, FranceBichat Claude Bernard Hosp, AP HP, DMU PARABOL, F-75018 Paris, France
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Univ Peruana Cayetano Heredia, Inst Med Trop Alexander von Humboldt, Lima, PeruUniv Peruana Cayetano Heredia, Inst Med Trop Alexander von Humboldt, Lima, Peru
Zavala, S.
Arias, M.
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Clin Sanna San Borja, Intens Care Unit, Lima, PeruUniv Peruana Cayetano Heredia, Inst Med Trop Alexander von Humboldt, Lima, Peru
Arias, M.
Legua, P.
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Univ Peruana Cayetano Heredia, Inst Med Trop Alexander von Humboldt, Lima, PeruUniv Peruana Cayetano Heredia, Inst Med Trop Alexander von Humboldt, Lima, Peru
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Univ Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USAUniv Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Chan, Kenny H.
Kraai, Tania L.
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Univ Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Univ New Mexico, Div Otolaryngol Head & Neck Surg, Albuquerque, NM 87131 USAUniv Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Kraai, Tania L.
Richter, Gresham T.
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Univ Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Arkansas Childrens Hosp, Div Pediat Otolaryngol, Little Rock, AR 72202 USAUniv Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Richter, Gresham T.
Wetherall, Sharon
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Univ Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Brigham & Womens Hosp, Dept Anesthesia, Boston, MA 02115 USAUniv Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
Wetherall, Sharon
Todd, James K.
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Univ Colorado, Sch Med, Dept Pediat, Boulder, CO 80309 USAUniv Colorado, Sch Med, Dept Otolaryngol, Boulder, CO 80309 USA
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Tottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Shimane Prefectural Cent Hosp, Dept Dermatol & Emergency & Crit Care Med, Izumo City, Shimane, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Kato, Madoka
Kaneko, Sakae
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Shimane Prefectural Cent Hosp, Dept Dermatol & Emergency & Crit Care Med, Izumo City, Shimane, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Kaneko, Sakae
Takagaki, Kenji
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Shimane Prefectural Cent Hosp, Dept Dermatol & Emergency & Crit Care Med, Izumo City, Shimane, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Takagaki, Kenji
Kohayagawa, Yoshitaka
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Shimane Prefectural Cent Hosp, Dept Dermatol & Emergency & Crit Care Med, Izumo City, Shimane, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Kohayagawa, Yoshitaka
Watanabe, Tessin
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Tottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Watanabe, Tessin
Yoshida, Yuichi
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Tottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan
Yoshida, Yuichi
Yamamoto, Osamu
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Tottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, JapanTottori Univ, Div Dermatol, Dept Med Sensory & Motor Organs, Fac Med, Tottori 6838503, Japan